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It's simple to RSVP: 

First Name:     Last Name: 

How many people will be attending? Adults:  Children: 

 Address:     City, State, Zip:   

 Email Address:     Phone:      
 

 Payment Information:

Cost: Pay by January 20th, - Adult $18 Child $15  (after January 20th, - Adult $25 Child $20)   
Sponsor $180.00 

* For your protection, this is a secure web form. 

Credit Card:  Master Card  Visa    Amex  Disc

 Name on credit card:     Card Number:       
 Exp:    CVV Security Code:  Amount to charge:     

I will mail in a check made payable to Chabad of Longmont:
195 South Main St. Suite #4 • Longmont, CO 80501