July 3rd Shabbat Dinner on the Patio Full Name* First Name Last Name E-mail* Number of people attending $36 a person Names of attendees I would like to contribute to this event! $180$500$1000$1800$2500$5000 Total $0.00 Payment* Credit Card Paypal 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 Month2026202720282029203020312032203320342035 Expiration YearPaypal has been selected. Payment will take place on the next page. Comments or Questions Submit Should be Empty: This page uses TLS encryption to keep your data secure.