RSVP- 14th Annual Spa for Body & Soul

 

 

First Name         Last Name

 

Address        City 

 

Zip Code       Phone 

 

Email Address   Referred by 

# of Women Attending 

       Names of Women

 

 Payment Information

 

Payment Options  Total Amount    

 

 I will send a check in the mail made out to:      

 

Ladies First, 495 Moe Rd, Clifton Park, NY 12065 

 I will pay via Credit Card:

 

Card Number Expiration Date CVV Code

 

 For more information, please email j wc@capitalchabad.com