Please complete the form below for your Shabbaton Reservation (November 20-21) Your Information First Name Last Name Address City / State / Zip Phone Email Number of Adults Number of Children Payment Information Shabbaton Fee: $45 per adult | $25 per child Sponsor: $500 Charge Amount Card Type Please Select Visa American Express Mastercard Card Number Expiration CVV Code Comments This page uses 128 bit SSL encryption to keep your data secure.