Your information Event Reserving For Shavuot Cookout- 05/20 Full Name* First Name Last Name E-mail* Email Phone* Phone: Number of people joining If you chose more than 1 person please include names and ages of your guests I want to help grow this wonderful project Join monthly cooking eventsHelp deliver and visit community membersPRDonate towards this project I know someone who would appreciate a food package Click here to let us know of someone who would enjoy a care packageI will ask friends in the area if they know someone and get back to you I would like to help sponsor this wonderful program $36$75$180$360$1000 Yes, I'd like to make this a monthly recurring payment. Payment Credit Card Paypal eCheck Venmo, Zelle, Cash or Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearPaypal has been selected. Payment will take place on the next page. Bank Name Routing Number Account NumberCheckingSavingsBusiness Account TypeVenmo: @ChabadLakeviewZelle: [email protected] Total $0.00 Yes, I'd like to donate the cost of processing this transaction by adding 3% Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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