This form is currently closed. Dr. David Perrick Shabbat Dinner: December 5th 2025 Services: 5:00pm Dinner: 6:00pm Full Name* First Name Last Name E-mail* Phone Number* Area Code Phone Number Adults: $40 Children: $18 I'd like to purchase a table of 8 $1000 USD Add Sponsorship $500 USD$360 USD$180 USD Total Charge $0.00 USD Payment Method Credit Card Other 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 Month2025202620272028202920302031203220332034 Expiration YearIf using CC on file put last 4 digits in special onstructions box. Check? Mail Check payable to Chabad How Many People total?* I would like to receive news and updates by email Should be Empty: This page uses TLS encryption to keep your data secure.