Summit 2023

B"H

Please use this form to let us know when you will be in town and what your kosher needs are during the Supplier Growth Summit, 2023.
Full Name

First Name Last Name
E-mail
Phone Number

Area Code Phone Number
Minyan: Please check all that you can attend.

Shacharit, 2/28, 7:00 amMincha/Arvit, 2/28, 6:00 pmShacharit, 3/1, 7:00 amEarly Mincha 3/1, 1:00 pmShacharit, 3/2, 7:00 am
Minyan: How many for Minyan?
Kosher Please mark times you want meals

Lunch at Chabad, 2/28 11-1Dinner take-out, 2/28, 6:00 pmPackaged Lunch, pickup at Chabad, 3/1Dinner take-out. 3/1, 6:00 pm
Quantity: If more than one meal is needed, please indicate here
Donation:

I would like to support the work of Chabad of Northwest Arkansas
Amount:

$101$252$540

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

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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