"Torah & Tea with Rochy" RSVP form

Evening for Women and Girls

  Shabbat Table

 

Contact Info

First Name

Last Name
   

Address

City/State/Zip
   

Phone

Email

  
   

RSVP for how many people


If more than one person, please write the names of all attendees in the "comments" field below 
   
Comments

If you prefer to make your reservations by phone/email; 508-473-1299 | [email protected]

  
Admission: Free of charge |
A one-time $15 fee is required for student handbook.
Reservations on the form below are required.
 
Sponsorship ($180 +)
 Yes, I want to be a sponsor in the amount of $
 
I will be joining: 
 I will take part in all 7 sessions    
 I will only be able to come on the following dates:  
 
 
I will pay by:
 Credit card (below)   
 Check (mail to Chabad 34 Cedar st., Milford, MA 01757)
 
Credit Card info 
CC Type Charge Amount $
Card #:
Exp. Date Cvv #: 
Billing zip    

Please hit the submit button once,
and wait for the confirmation screen to appear, Thank you