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 PackagesStandard Kiddush for 40 people$540 (Includes: Challah, 4 salads or dips, 2 entrees, pareve cholent)Additional GuestsIn addition to Standard Kiddush$180 (10 additional guests)$360 (20 additional guests)$540 (30 additional guests)If you're expecting more guests, please contact our office for pricing.Co-SponsorIf selected, please continue to section 6.$180 (Includes recognition in newsletter & announcements, without food selection)3. Select Included OptionsDips and SaladsPlease select 4 options.Asian NoodlesBabaganoushBeet SaladCherry Tomato SaladChickpea SaladColeslawCorn SaladCucumber SaladEgg SaladEggplant DipGreen SaladHeart of Palm SaladHummusIsraeli SaladMacaroni SaladOlive DipOlive TapenadePasta SaladPesto DipPesto NoodlesPotato SaladSpicy Carrot SaladSweet Eggplant SaladTaboule SaladTomato DipEntreesPlease select 2 options.Breaded Chicken Breasts (Schnitzel)Chicken TendersCold Cuts (Turkey, Salami & Corned Beef)Deli RollFried Tilapia (Additional $30 Fee)Grilled Chicken BreastsMoroccan Salmon (Additional $30 Fee)Pesto Salmon (Additional $30 Fee)Salmon (Additional $30 Fee)Teriyaki Chicken Tenders4. Additional OptionsDips and SaladsEach additional Dip or Salad is $30Asian NoodlesBabaganoushBeet SaladCherry Tomato SaladChickpea SaladColeslawCorn SaladCucumber SaladEgg SaladEggplant DipGreen SaladHeart of Palm SaladHummusIsraeli SaladMacaroni SaladOlive DipOlive TapenadePasta SaladPesto DipPesto NoodlesPotato SaladSpicy Carrot SaladSweet Eggplant SaladTaboule SaladTomato DipEntreesEach additional Entree is $80. Fish and Meat Options cannot be mixed.Breaded Chicken Breasts (Schnitzel)Chicken TendersCold Cuts (Turkey, Salami & Corned Beef)Deli RollFried Tilapia (Additional $30 Fee)Grilled Chicken BreastsMoroccan Salmon (Additional $30 Fee)Pesto Salmon (Additional $30 Fee)Salmon (Additional $30 Fee)Teriyaki Chicken TendersSpecialty Add OnsMeat Cholent $70Potato Kugel $25Sushi Platter $75Sweet Noodle Kugel $30DessertFruit Platter $509 Inch Birthday Cake $401/4 Sheet Birthday Cake $655. 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 CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2019202020212022202320242025202620272028Expiration 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 GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNagorno-KarabakhNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandTurkish Republic of Northern CyprusNorthern 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 LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTransnistria PridnestrovieTrinidad 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.
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