Yeshiva Day Reservations Chabad of Northern Virginia 3939 Prince William Drive Fairfax, VA 22031 Sunday, March 18th, 2012 Yeshiva Day Lectures begin 2:30 PM; Dinner Event at 5:30 PM *Name: *Address: *City: *State: *Zip: *Phone: *Email: Fields marked with an asterisk * are required Number of People: 0 1 2 3 4 5 6 @ $30 per Person Total Cost: Please complete the following section for credit card payments: VISA MasterCard American Express Card No. Exp: mm/yyyy 01 02 03 04 05 06 07 08 09 10 11 12 / 2012 2013 2014 2015 2016 2017 2018 2019 2020 Card ID Number: Where's my Card ID Number? If you have any questions or concerns please contact our office at (703) 426-1980 or Email: [email protected] This page uses 128 bit SSL encryption to keep your data secure.