Chabad Lubavitch of Alexandria-Arlington

Kiddush Sponsorship form.
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I would like to sponsor a Kiddush.
Please put me down for (date) .

This sponsorship is in honor or in memory of:
.

Regular Kiddush $275

Deluxe Kiddush $375
$

Please charge my Credit Card

Your Info:
* Denotes required field

Title*
First Name*
Last Name*
Address Line 1*
Address Line 2
City*
State
Zip*
Country*
Phone
This is my home business address.

 

Card Type*
Card Number*
Expiration Date*
CVV Security Code What's This?

 

Acknowledgement
Email Address*
Reconfirm Email Address*
You may acknowledge my gift to my email address
Please acknowledge my gift by mail to the above street address.
Please contact me to discuss additional giving opportunities.
 

Please click submit only once.
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For additional donation and sponsorship opportunities please click here