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ChabadDelray.com » JLI » JLI Reservation Form

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JLI reservation form below:

[1]  PERSONAL INFO

   [2]  RESERVATIONS

Last Name

  

Please select the number of people attending. 

 Adults
 

First Name
Address
City
State
Zip
Phone
E-mail

[3] PAYMENT
      $65 per Adult, $105 per Couple, $360 per Sponsor 

 Please charge my card below
  I will send a check in the mail  
Total Amount    Comments (optional)
Card Type  
Card Number  
Expiration    
Cvv Code  
Please make checks payable to Chabad of Delray Beach, Mail to :7495 W. Atlantic Ave, Delray Beach FL 33446



 

 
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Chabad of Delray Beach • 7495 West Atlantic Avenue • Delray Beach, FL 33446 • 561-496-6228

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