L'Chaim Club Reservation Form Full Name* First Name Last Name Option 1Option 2Option 3 E-mail* Phone Number* Area Code Phone Number If you signup for the Winter season you do not have to select which weeks you will come Click to sign up the entire fall season $44 All 5 L'chaim Clubs Or Click on number of weeks you would like to RSVP for: $10 - January 8$10 - January 15$10 - January 22$10 - January 29$10 - February 5 No one will be turned away due to lack of fundsPlease email [email protected] or call 484-533-7009 Sponsor a class in honor or memory of a loved one: $54 per class Please Specify which class you would like to sponsor In Honor/Memory of Total Charge $0.00 USD Payment Method Credit Card Paypal Check or Cash Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2023202420252026202720282029203020312032 Expiration YearPaypal has been selected. Payment will take place on the next page.Make Checks payable to Chabad of Lafayette Hill:2048 Spring Mill Rd. Lafayette Hill, PA 19444 Comments? Questions? I would like to receive news and updates by email Submit L'chaim Club is partially sponsored by the Walmart Foundation Should be Empty: This page uses TLS encryption to keep your data secure.
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