Location: Chabad Zichron Kedoshim Admission: $18 Adult - $12 Child Please use following form to register your seat(s). Name Man Woman Child 1. 2. 3. 4. 5. Please use the following form for payment: Personal Information Title Mrs. Ms. Mr. Province First Name Postal Code Last Name Country Address Phone City Email Address Type of Card: Amex MC Visa Name on Card: Card Number: Expiration Date: mm/yy CVV: Amount to pay: $ This page uses 128 bit SSL encryption to keep your data secure.
