Kosher Meal Order Form - JewishTaos.com

General Information:
Full Name:*

First Name Last Name
E-mail:*
Phone Number:*

Area Code Phone Number
Meal Order Information:
Date ordering for:*

Month Day Year
Lunch: $15
Tuna Fish:
Egg Salad:
Dinner: $30
Chicken Dinner:
Salmon Dinner:
Shabbat Meal: $50
I will pick up my order from the Chabad Jewish Center.
Time of pick up:
Comments:
All proceeds go directly to benefit the work of Chabad of Taos. Please consider making an additional donation to help us continue our work.
Donation Amount:

$
Total

$0.00

Payment

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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