Program Registration - ChabadatWiregrass.com

Address:*

Phone Number:*

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Cost: Includes Hotel, All Meals & Programing
Double Occupancy $400 Per Person - Single Occupancy $600 - Child in room $200

EARLY BIRDS save 10% until March 20^th(applied automatically)
Number of Guests:*
Number of Rooms*
I would like to be sponsor for this event:
Sponsorships:

Table Sponsor - $180Sponsor a Guest - $360Shabbat Sponsor - $1000Event Sponsor - $1800
Total

$0.00

Payment

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We accept Visa, MasterCard, American Express, Discover
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Expiration Month	Expiration Year

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