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 Welcome  Program  Accomodations & Transportation  Registration and Payment

 

Registration and Payment

 * Last Name 

*First Name 

 *Phone No. 

*Email 

 *Address 

 *City 

 *Postal Code 

 2- RESERVATION

 *No. of Persons    

 I need private home accomodation (no charge)


 I need transportation ($95 return trip)
 

  Shabbat Meals (3 meals) $75 

    Sightseeing: (JCM, BBGardens, Cruise)  $50    

 Names of Persons: (First, Last) 

 1.    

2.    

3.  

 *Credit Card Type

*Credit Card Number

*Expiration Date

*Name on Card   

 

 

6- MISC 

 I know about this event from: 
CJN Ad 
Chabad of Westmount Brochure 
Direct Email 
Forwarded Email 
Flyer Card 
Word of Mouth/Friend 
Other: