Chanukah Extravaganza Reservation Form
Tuesday, December 27 ~ 5:30 - 7:30 pm ~ Brunswick Zone Mt. Prospect
Reservation Details
Reservation Name*:
Number of Attendees*:
Contact Email Address*:
Names of Attendees:
Payment Options:
Advance Purchase Price ($12.00/person before Dec. 20)
Family Admission ($72.00)
Sponsorship Options:
Event Sponsor $180 Event Sponsor $360 Other
Card Number
Expiration Date CVV code
I will mail my check to Chabad and Free of Niles 9401 N. Margail Des Plaines IL 60016
First Name *
Last Name *
Address
City
State
Postal Code
Country
Phone
