PLEASE SPECIFY YOUR REQUEST CHECK EITHER CHOICE A OR B
A) ADDITIONAL INFORMATION
PLEASE ENTER YOUR INFO BELOW
B) RSVP ( RESERVATION ) PLEASE ENTER YOUR INFO BELOW
Please complete the form below to reserve a place at the event of your interest or to request further information.
Please be sure to click submit at bottom.
Family Name First Name
Phone numbers: Day Eve
Email Seats Required 1 Seat 2 Seats 3 Seats 4 Seats 5 Seats 6 Seats 7 Seats 8 Seats
PROGRAM SELECTION Kollel Mitzion Shabbaton Bethesda Yeshiva Experience Friday Night @ Chabad, May 1 Adults 1 adult 2 adults 3 adults 4 adults 5 adults Children 1 Child 2 Children 3 Children 4 Children 5 Children 6 Children
YOU CAN PAY ANY PROGRAM FEE OR COVER CHARGE ONLINE AFTER YOU SUBMIT THIS RESERVATION FORM. PLEASE SELECT THE PAYMENT BOX BELOW AND ENTER THE AMOUNT OF YOUR INTENDED PAYMENT.
► UPON SUBMITTING THIS RESERVATION FORM A CONFIRMATION PAGE WILL APPEAR AND DIRECT YOU TO THE ONLINE PAYMENT FORM.
PAY NOW ONLINE >> AMOUNT OF INTENDED PAYMENT
WILL PAY LATER >> AMOUNT OF PAYMENT Fri Night Adult $15 Fri Night Child $10 Fri Night Family $35 Sat Day Adult $10 Sat Day Child $5 Sat Day Family $25
NO PAYMENT NECESSARY
Thank you for making plans to join our programs.
If you need to contact us, Please call 301 913-9777