Title: First Name:

Last Name:

Address:

E-mail address:

Charge:

Students, English teachers and children - Free
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Due to limited space, place at the meals can only be guaranteed
if a reservation is made and confirmed in advance

Weekend of :

Kabalat Shabbat and  Dinner - No. of Guests:

Shabbat Lunch  -  No. of Guests:

Seuda Shlishit  -  No. of Guests:

I would like to sponsor Kiddush this Shabbat. (3,000 RMB)

TOTAL: ( Please specify either RMB or USD )

 Select Donation Method:
Cash Credit Card Pay Pal Check Bank Wire

Payment Details:
VISA MasterCard American Express

Card No.
Card Expiration: (MM/YYYY)  / 

Are you able to assist the SJC by bringing a package of supplies, if the need arises?
  Yes

Would you like to be on our mailing list?
Yes

Comments:

HAVE A SAFE TRIP!!