Shabbat Lunch Sign-Up Student Shabbat Lunch Registration Fall 2021 Please sign up here for Saturday lunch at Hillel. Your Contact InformationName* First Last Email* UID* Grad Year* 2025 2024 2023 2022 Winter 2021 Please indicate your Hillel Kosher Dining Relationship:*I am not on a Hillel Kosher Meal PlanI am on a Hillel Kosher Meal PlanHome Address (Billing Address - required to process Credit Cards)* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Shabbat Meal Information - 1Please select the Saturday Lunch Shabbat Date you wish to attend.* Saturday, August 28 Saturday, September 4 Saturday, September 11 Saturday, September 18 Saturday, September 25 Saturday, October 2 Saturday, October 9 Saturday, October 16 Saturday, October 23 Saturday, October 30 Saturday, November 6 Saturday, November 13 Saturday, November 20 Saturday, December 4 Saturday, December 11 Saturday, December 18 Please select the number of Saturday Lunches you are purchasing: $16.99*12345678910111213141516I understand Maryland Hillel incurs credit card expenses. I would like to voluntarily contribute an additional 3% to offset this expense.*YesNoAdditional Credit Card Fee Price: $0.00 Your Order Summary:Maryland Hillel uses Authorize.net to process credit card transactions for online purchases. Please enter all of your credit card information. This information IS NOT stored and is only used for transactional purposes. We thank you for joining us for Shabbat and we look forward to spending time with you. If I can be of any assistance in the interim, please be in touch with me at Liz Donaldson (firstname.lastname@example.org) or 301-422-6200 x202. Thank you.Final Amount Due: $0.00 Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Total $0.00 CAPTCHANameThis field is for validation purposes and should be left unchanged.