Home PageAbout Chai LifelineBoca TeaMiami LuncheonContact Us  

Reservations for the Annual Membership Luncheon

Please make reservations at $ 100 per person
 
Note: This is the total quantity attending. If you choose a sponsorship below, the amount will be deducted from your total.
OR
Other: $

Donation Categories
 Bride
Includes membership, 3 reservations, and 5 raffle tickets		 $1,000
 Mother of the Bride
Includes membership, 2 reservations, and 3 raffle tickets		 $500
 Maid of Honor
Includes membership, 1 reservation, and 3 raffle tickets		 $360
 Flower Girl
Includes membership, 1 reservation, and 2 raffle tickets		 $200
 Chai Society Women Membership
Includes membership, 1 reservations, and 1 raffle ticket		 $125
 Order Total:$


Please enter your guests' names



Billing Information Credit Card Payment Information:
First Name:
Last Name:
Company:
Address:
City:
State/Prov:
Zip Code:
Country:
Phone:
Email:
Card Type:
Card Number:
Expiration Month:
Expiration Year:
Verification Code:
This is the 3 or 4 digit number printed on the back signature
panel. It is on the front of the card for American Express.
required fields
Please mail a receipt to the address above (in addition to the receipt I will receive via email).


Please wait a moment while we process your request.
Do not hit the "Process Order" button more than once!
© 2008  Chai Lifeline        Website Designed by Duvys.com