Shabbat Dinner Registration Form: Friday, January 24, 2020 At the Chabad-Aleph House 5:00 PM Candle Lighting and Kabbalat Shabbat Services 6:00 PM: Shabbat Dinner Name: Email: Phone: I would like to attend the Shabbat Dinner @ the Chabad Aleph House. Please Check one: Price: $25/Adult- $12/Child - Under 5 is free 1 Adult: $25 2 Adults: $50 3 Adults: $75 1 Child:$12 2 Children:$24 3 Children:$36 Total: I would like to help sponsor someone for this dinner, Please add: $100 $50 $36 $18 Payment: Please charge my credit card (CC info needed to submit form ) Credit Card information: Visa Mastercard AmEx Name on card: Card Number: Expiration date: Security code: Zip Code: This page uses 128 bit SSL encryption to keep your data secure.