Family Name: Name: Address: City/Zip: Tel: Email address: Number of adults:0 1 2 3 4 5 6 7 8 9 10 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 Or with Credit Card via PayPal by clicking here Pay Pal.Me/ChabadEsra I am visiting Switzerland For more information please contact Chanie Rosenfeld at [email protected] This page uses 128 bit SSL encryption to keep your data secure.