Shabbat Hospitality

Address*

Purpose of your visit
When do you plan to arrive?*

Month Day Year
When do you plan to check out?*

Month Day Year
How many people?*
If you will have children with you, please include their ages and gender
Anything else we should know?
Please provide at least two references.
Reference #1*
First Name Last Name
Phone Number #1*

Area Code Phone Number
Reference #2*
First Name Last Name
Phone Number #2*

Area Code Phone Number
In order confirm legitimate requests and minimize last minute cancellations, we require a donation of $36 to accommodate your request. Please allow ample time (preferably at least 7-14 days) to make arrangements. We try to accommodate when possible, but requests for large families may not be practical. You are welcome to try Airbnb or other types of vacation rentals. Also please keep in mind that we are a community with limited families available to host overnight guests. If possible please be courteous and make independent hotel/rental arrangements for the other nights of your trip or vacation and request Chabad to assist sleeping arrangements for Shabbos only.
Hospitality Donation*

$36

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

City

State / Province

Postal / Zip Code

Country

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Hospitality Request for Shabbat