First Name:
Last Name:

Address:
City: State:
Zip Code:

Phone:
E-mail:

Comments:

I would like to become a member of CWC ($154.00)
[entitles you to free admission to all events]

I would like to attend Shabbat Dinner (November 1)

I would like to attend the Rosh Chodesh Society monthly class ( see page for prices).

I would like to help sponsor these events with my donation
$54 - $72 - $100

Credit Card Type:

Credit Card Number:

Exp.(mm/yyyy) /

CVV Total Amount $

My check payable to Chabad Women's Circle is in the mail.

I am a member of CWC and am entitled to free admission.

Please mail all checks to Chabad Women's Circle
2001 Far Hills Ave. Dayton, OH 45419

Thank you so much!...

For any questions, please contact us at devorahleah@chabaddayton.com