Shabbat Reservation Form - Chabad Lubavitch of Midtown Manhattan

Shabbat Meal Reservation Form
Please note: To reserve on Friday after 12:00 pm you must call the office 212-972-0770
Full Name:*
First NameLast Name
E-mail:*
*indicates required field
Phone Number:
Area CodePhone Number
Company Name:
Referred by:

Address:

Which Shabbat are you reserving for:*
MonthDayYear
Please note that our pricing has been revised.
How many persons Shabbat Dinner $50.00?*
How many persons Shabbat Lunch $40.00?*
I would like to make an additional donation to help sponsor Shabbat meals at Chabad (optional):
Not at this time$45 Sponsors one meal$108 Sponsors 3 meals$180 Sponsors 5 meals$360 Sponsors 10 meals$1000 Kiddush dedication$1800 Shabbat dedication
I would like to sponsor in honor/memory of:This dedication will be prominently displayed throughout Shabbat
Total amount:
$0.00

Payment:*

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Comments:
ANY CANCELLATIONS SUBMITTED AFTER THURSDAY 12:00 P.M. (EASTERN TIME) WILL NOT BE REFUNDED.
Should be Empty:

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Shabbat Meal Reservation Form