Chabad of Reston-Herndon

Kiddush Sponsorship form.
...........................................

kiddush.jpg

I would like to sponsor a Kiddush. Please put me down for (date) .
This sponsorship is in honor or in memory of .

First Friday Kabbalat Shabbat $225 

Regular Kiddush $200

Deluxe Kiddush $ 225 (Lox & Bagels/Deli)
$

Please charge my Credit Card

Your Info:
* Denotes required field

Title*
First Name*
Last Name*
Address Line 1*
Address Line 2
City*
State
Zip*
Country*
Phone
This is my home business address.
Card Type*
Card Number*
Expiration Date*
CVV Security Code What's This?
Acknowledgement
Email Address*
Reconfirm Email Address*
You may acknowledge my gift to my email address
Please acknowledge my gift by mail to the above street address.
Please contact me to discuss additional giving opportunities.