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Thank you very much for your submission.
Below is a summary.
| Full Name - First Name | Devorah S |
| Full Name - Last Name | Goldstein |
| Phone Number | 858-2087685 |
| [email protected] | |
| Number of Adult Attendees | 1 |
| Number of Child Attendees | 1 |
| Names of Attendees | Yisroel |
| Rosh Hashana Eve. sept. 11, 2026 | Evening Services: 6:30 PM |
| Dropdown 55 | |
| Textarea 56 | goldstein |
| Textarea 57 | |
| Rosh Hashana Day 1 Sept. 12, 2026 | Morning Services: 10:00 AM |
| Rosh Hashana Day 2 Sept. 13, 2026 | Shofar Sounding |
| Yom Kippur September 20 & 21 2026 | Kol Nidrei |
| Please select your donation | 18.00 |
| Payment - Payment Method | Credit Card |
| Payment - Credit Card Type | Visa |
| Payment - Credit Card Number | **** 2361 |
| Payment - Expiration Month | 10 |
| Payment - Expiration Year | 2030 |
| Payment - Name on Card | devorah goldstein |
| Payment - Street Address | 17055 rock road |
| Payment - Street Address Line 2 | |
| Payment - City | poway |
| Payment - State / Province | ca |
| Payment - Postal / Zip Code | 92064-1134 |
| Payment - Country | United States |
| Questions/Comments | |
| Textarea 58 | |
| Checkbo59 | No (Unchecked) |
| Textarea 60 | |
| Textarea 61 | |
| Datetime 64 | 08/16/2026 6:10 PM |
| Datetime 65 | 08/16/2026 6:10 PM |
| Submission Date | 8/16/2026 21:09:22 PM |
| Submission Id | 4503205-15830702 |
Thank you,
Chabad of Poway/Rancho Bernardo
