Israel Trip Registration form

Chabad Upper East Side Ukraine Trip

A trip of a lifetime! Ukraine - July 18 - July 26, 2019
Full Name *

First Name Last Name

Address

Phone Number *

Area Code Phone Number
E-mail *
Reservation qty:
Please list the names of travelers
Payment Options

Pay by check (click submit on bottom of page) Pay by credit card

Credit Card payment:

CC payment (flight not included) $ 1,800.00

Single room supplement $ 500.00

Total $ 0.00

Chabad Upper East Side Ukraine Trip