Kiddush Order Form - ChabadPlace.org

Before completing this form, please read the Kiddush info page thoroughly. If you have any questions, please reach out prior to completing the form to ensure everything is understood.
Date of Kiddush*

Month Day Year
Base Kiddush* This covers the regular Kiddush at Chabad. Guests are not included in this fee.

$1000
Kiddush Tier* Please Select
Adults*
Children* 13 & Under
Celebratory Cake* This will be charged at cost price

YesNo
Linen Color*
Agreement*

I understand that kiddush pricing is based on a minimum of 30 adult guests. A 30% surcharge will be added to the total adult cost for fewer than guests.I understand that a lead waiter ($400) is required for any kiddush. A 2nd waiter ($200) is required for 30-75 guests and a 3rd waiter ($200) for 75 guests or more.I understand that children are charged at 100% (Tier 1) or 70% (Tier 2 & 3) of the adult cost.I consent to making full payment using the credit card below (at least) 3 days prior to the Kiddush
Notes or Comments
Total

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%

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Expiration Month	Expiration Year

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