Family Name:
Name:
Address:
PLZ / City:
Tel:
Email:
Amount of Adults:
Amount of Children:
(children are seated at a children's table)
Names of those joining:
Please choose your form of payment:
I will pay directly to Postkonto 87-703318-6
IBAN CH23 0900 0000 8770 33186
Please send me a Einzahlungsschein/payment slip
With Credit Card via PayPal by clicking here Pal.Me/ChabadEsra
Comments and special (seating) requests:
I am / We are visiting Switzerland:
For more information please contact
Rabbi Sholom Rosenfeld @ 044 383 9304 or [email protected]