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* Denotes required field 

 TAMBOURINE RESERVATIONS

 Save Me A Spot!
$18 
     $180 - Sponsor  
I would like to make an extra donation of 

  CONTACT INFORMATION

  Last Name*

 First Name*

 Address*
 City*
 State/Zip*
/
 Email


  PAYMENT

 

 

 

Please choose one of the following:
Credit Card Check Cash

 

 

 Total Due :  

Card Type

Card Number*
Expiration Date*
 
Zip Code*

 Please Mail Checks or Cash to:
10165 Cleary Blvd
Plantation, FL 33324
or you may pay at the door.

For more information feel free to email us at events@ChabadPlantation.com or call us at 954-370-2289