Shabbat Dinner RSVP 

 First Name * 
 Last Name *  
 Address (use address associated with credit card) * 
 Postal Code * 
 Email Address *  

Please reserve for  

cost: $15 Per Person   

Please help sponsor this event with a donation of $36 - $72 - $180 

Please charge my card in the  amount of: $

Form of payment:

       Amex Logo     
Card Number    
Expiration Date   
CVV Security Code     What's This?  

I will mail my check to Chabad of Oceanside  
      1930 Sunset Drive, Vista, CA 92081

 Please provide any additional comments here:  

For more information please call (760) 806-7765

 or email: