Full Name*First NameLast NamePhone Number E-mail*1st night at Parque HidalgoSunday, November 28th 5:30pmHow many people attending?__________________________________________________________________2nd Night in Sayulita Town SquareMonday, November 29th 6:30pmHow many people attending?3rd Night at Zoho City (Hotel Zone)Tuesday, November 30th 6:30pmHow many people attending?4th Night at Villa Magna (Nuevo Vallarta)Wednesday, December 1 6:30pmHow many people attending?5th Night at Art and Market (Marina Vallarta)Thursday, December 2nd 6:30pmHow many people attending?6th Night Friday Night Shabbat dinner at ChabadFriday, December 3rd 6:30pmHow many people attending?Monthly Shabbat mornings with the communitySaturday, December 4 10:00amHow many people attending?8th Night at Flamingoes Beach ClubSunday, December 5 6:30pmHow many people attending?Optional Chanukah Sponsorship:Recognition of Donors at main Chanukah event$180 Latke Sponsor$360 Dreidel Sponsor$540 Menorah Sponsor$1800 Chanukah Event SponsorTotal$0.00PaymentCredit Card Paypal Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity Code1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2021202220232024202520262027202820292030Expiration YearPaypal has been selected. Payment will take place on the next page.Comments:SubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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