Name *

First Name

Last Name

How would you like to get your Challah? *

Please be in touch with me about how I can pick it up

Please drop it off, I've included my address below

Do you have a preference which week you would like to get Challah

let us know if you will only be in town one of the weeks.

Friday 19th July

Friday 26th July

Address

If you would like us to drop it off, let us know your address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please keep me updated about all programmes and activities at Chabad of Battersea *

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Yes

No