Printed fromChabadChaiCenter.com

ב"ה

Spa for the Soul

Scroll down to Register!
Full Name*

First Name Last Name
E-mail
Phone Number

Area Code Phone Number
Admission: $18 | Co-Sponsor: $180
Number of Attendees:*
Yes, I would like to be a co-sponsor for this event- $180.
Total

$0.00

Payment

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

This page uses TLS encryption to keep your data secure.