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 Book Club & Breakfast - January 20 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: Visa Master Card Credit Card Number: Exp.(mm/yyyy) 01 02 03 04 05 06 07 08 09 10 11 12 / 2018 2019 2020 2021 2022 2023 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 This page uses 128 bit SSL encryption to keep your data secure.