Children under 12 $10 Number attending Jew Crew Members $10 Number attending Adults $15 Number attending Family $36 Please Indicate# of people in Family Chai Sponsor $180 Double Chai Sponsor $360 Name: Address: City: State: Zip: Phone: Home Cell Work Total Due: Cash Check Payment Information Credit Card Number: Exp: (3 or 4 digit) Code: Total Amount: Date: Please Initial: (Electronic Signature) This page uses 128 bit SSL encryption to keep your data secure.
