Passover Disconnect to Connect Reservation Form:
Friday, April 19; 
I would like to make reservations for Passover.

Cost: $40 Adult / $20 Child under 12 
Sponsor: $180 
Partnership: $360 


Phone Number: 

Email Address:  
A dults     Children   

If you would like to make a donation: 


To pay by check, mail to Chabad of Homestead & Cutler Bay,
8460 SW 198th St., Cutler Bay, FL 33189

To pay by Credit Card:

Payment Information
  Please charge my:


  Card Number: Name on card 
  Exp. Date
CVC # 

Total Amount to be charged:

  Additional comments/information: