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At Chabad Jewish Center of Laguna Beach

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Queen for a night

1. Your Information
Full Name

First Name Last Name
E-mail
Phone Number
2. Reservation
Number of reservations $25 per person
Sponsor

$100
3. Payment
Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

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