Meal Order
Name
Your answer
E-mail address *
Your answer
Delivery Date: *
MM
/
DD
/
YYYY
Delivery Time
Time
:
Number of meal boxes x $25 *
Meal Preferences
Your answer
Delivery To *
Your Location
Please include local phone number if available
Your answer
Card Number
Your answer
Expiry Date:
MMYY
Your answer
CVV Security Code:
Your answer
Billing Address
(Or at least Zip code)
Your answer
More Options To Pay Via:
Choose below if not by credit card and after submitting the form go to: http://jewishkorea.com/Donate.html to find the details
An Additional Amount As A Donation to Chabad
Your generosity will make all the difference in our efforts to continue provide Jewish services to people like you. Please use the form below to contribute an additional amount.
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