L’Chaim Program: Women’s Get Together

Name*
First Last
Email*
Phone
Address
Street Address Address Line 2 City State ZIP Code
Please fill out number of attending adults
Total number of adults Quantity
Please indicate how many adults you are reserving for
Price: $15.00
Payment Information
Would you like to cover the service fee, so that 100% of my donation will benefit B'nai Israel Ohev Zedek
- Yes, I would like to cover the merchant service fee
Merchant Service Fee
Price: $0.00
Total
$0.00
Credit Card
Card Details
Cardholder Name