| Name (First and Last name) |
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| Address |
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| City, State, Zip |
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| Phone |
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| Email |
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| # of attendees |
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Suggested Donation: $10 per person; Sponsor $54
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No one turned away due to lack of funds. Please donate whatever you are able to. |
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Payment form (Secure form)
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| Name as it appears on credit card |
| I will be paying by Cash/Check Credit Card |
To pay by check please make check payable to Chabad Jewish Center and mail it to: Chabad Jewish Center of Northern Colorado P.O. Box 271756 - Fort Collins, CO 80527
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| Credit Card # |
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| Card Type |
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| Expiration |
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| Amount |
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| To help defray your processing costs, please add 3% to the cost as an added gift. |
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| Security code (CVV) |
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| Comments |
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