Kiddush Sponsor Form"The Kiddush" has become a vital part of Chabad of Pacific Palisades as it does much to create friendships, community and the warm Shul atmosphere in which we take great pride.The Kiddush can be sponsored in honor of a special occasion (birthday anniversary, Yahrtzeit), family member, friend or in honor of the community.1. Personal InformationFull Name*First NameLast NameE-mail*Phone Number*Area CodePhone Number2. Kiddush SponsorKiddush Sponsor (Includes 10 additional guests)$750 (Includes: Challah, 4 salads or dips, 2 entrees, pareve cholent)Additional GuestsIn addition to Standard Kiddush-Please contact office for prices.40 additional guestsIf you're expecting more guests or want more options , please contact our office for pricing.Co-SponsorIf selected, please continue to section 6.$360 (Includes recognition in newsletter & announcements, without food selection)3. Select Included OptionsDips and SaladsPlease select 4 options.BabaganoushBeet SaladBeet SaladChickpea SaladColeslawCorn SaladCucumber SaladEggplant DipGreen SaladHeart of Palm SaladHummusIsraeli SaladPesto Noodles (PASTA)Potato SaladSpicy Carrot SaladSweet Eggplant SaladTaboule SaladEntreesPlease select 2 options.Breaded Chicken Breasts (Schnitzel)Chicken TendersTeriyaki Chicken TendersGrilled Chicken BreastsSpecialty Add OnsMeat Cholent $105Sushi Platter $115DessertCut-Up Fruit $959 Inch Birthday Cake $801/4 Sheet Birthday Cake $955. CommentsBirthday Cake Instructions (if applicable)Additional InstructionsNotes6. Kiddush InformationKiddush Occasion*Date of Kiddush*Expected Guests*Additional Comments7. PaymentTotal$0.00Payment*Credit Card Mail In Credit CardWe accept Visa, MasterCard, American Express, DiscoverCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2023202420252026202720282029203020312032Expiration YearChabad of Pacific Palisades 17315 Sunset Blvd. Pacific Palisades, CA 90272Billing AddressStreet AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountryShould be Empty: Submit This page uses TLS encryption to keep your data secure.