Winter Yeshiva Villa ReservationLast 2 weeks of JanuaryRequired: * By filling this form you agree to be within the same Villa community which Chabad will be coordinating a Minyan. * You also agree to book the villa with our designated management company. This enables us to coordinate properly. (They will not mark up the homes when you will book with them.) * You agree to pay a $500 fee to enable us to coordinate the Minyan and place to Daven, Sefer Torah etc.Optional: * You may opt to have your villa Kashered for $180. Villa should be reserved an extra day earlier, for this.* You may order discounted tickets from Universal or Sea World - from us . * You can order food for Shabbos or anyday. Full Name*First NameLast NameE-mail*Address*Street 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 SaharaYemenZambiaZimbabweOtherCountryPhone Number*Area CodePhone NumberApprox. # of People in your group:*# of Men eligible for Minyan:*Date planning to arrive (Minyan Program only weekends of Jan 18-19 & Jan. 25-26:*Date planning to leave:*Agreements*I agree to the above terms.I will book my villa with referred mngmt.I agree to pay the $500 for the Minyan.We want to Order Shabbat meals from "Catering by Motti"We are interested in having the Kitchen Kashered for $180"Catering by Motti" Shabbat MealsDinner and Lunch for Shabbos: $89/person Weekday Meals Lunch & Dinner each weekday: $55/person Boxed Lunch & (Reg.) Dinner each day: $50/personName on Credit Card*Credit Card #*Exp Month*010203040506070809101112Exp Year*201920202021202220232024202520262027202820292030Billing zip*Catering charges will be charged the week before your vacation.CVV code*Should be Empty: Submit This page uses TLS encryption to keep your data secure.
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