This form is currently closed. Full Name* First Name Last Name E-mail* Number of people attending:* $45 per person Please list the names of additional attendees Please consider a donation of any amount. It fuels more of these fun Women's events for the community! $36.00$50.00$75.00$100.00$180.00$250.00$360.00$500.00$770.00$1000.00$1800.00 Total $0.00 Payment* Credit Card Paypal Check 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 Month2024202520262027202820292030203120322033 Expiration YearPaypal has been selected. Payment will take place on the next page.Please make checks payable to Chabad of Novato and mail to 695 Delong Ave Suite 101 Novato, CA 94945 Should be Empty: This page uses TLS encryption to keep your data secure.