Shabbat Meals At JCK RSVP

Full Name*
First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
How many people are you signing up for? (Note: The cost is $300.00 per person)*
Yes, I want to make a donation to help cover the cost of the Shul over Shabbos at JCK:

$180 USD$360 USD$540 USD$1000 USD$1800 USD
Total Charge

$480.00 USD

Payment Method*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

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