Shabbat Dinner RSVP Friday Night Services at 6:15pm Dinner at 6:45pm Your Information First Name Last Name Address City State Zip Code Phone Email Reservation # of Adults | $15 # 1 2 3 4 5 6 # of Children | $10 # 1 2 3 4 5 6 Family Max | $65 # 1 2 3 4 5 6 Sponsor | $180 # 1 2 3 4 5 6 Billing Information Checks made payable to Chabad can be mailed to 946 N Valley Forge Road • Devon, PA 19333 Card Number Expiration Month 1 2 3 4 5 6 7 8 9 10 11 12 Year 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 CVV Code Total Amount to Charge Card This page uses 128 bit SSL encryption to keep your data secure.