Kiddush Sponsorship Request Form

Kiddush Sponsorship Request Form

This form doesn't guarantee the date - Shulamit will call you to confirm the availability
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Preferred Shabbat*

MonthDayYear
Date
Secondary Shabbat

MonthDayYear
Date
Sponsorship Amount*
Minimum Sponsorship is $1,000, Minimum Co-Sponsorship is $500 or the cost of the Kiddush split between families
Sponsored by*
As you would like it to appear in the weekly bulltein - Include spouse or family's name
On the occasion of*
As you would like it to appear in the weekly bulltein - In memory of a loved one, in honor of a special occasion or just to support Chabad
Catering Preference (optional)
Must be under the Vaad of the Five Towns
Notes
You will receive a call or email to confirm that the date requested is available.

Please note that once confirmed a credit card is required for payment.
Should be Empty: