Full Name* First Name Last Name Primary Phone Number* Area Code Phone Number E-mail* City/State of Residence* Congregation Affiliated With?* Please list the name and number of a Rabbi/Rebbetzin as a reference* Purpose of your Visit* BusinessFamilyLeisure When would you like to stay with us? From* Month Day Year To* Month Day Year Weeknight Rates (incl. 2 adults): Weeknight reservation rates are $70 per night. Does your visit include a weekend stay? YesNo We are glad to offer the Shabbat Package for guests staying with us over a weekend. Shabbat Package for 2 Adults Price: $218.00 Early check-in on Friday and late check-out on Sunday morning Light refreshments (Pas Yisroel) and milk/non-dairy creamer Friday night dinner in the home of one of our rabbis or congregants Shabbat lunch (wash & sit full Kiddush at Shul) Hot water urn for coffee/tea Shabbat lamp Havdallah Package Alternatively, you may chose to stay with us over the weekend at our regular daily rate ($70), and arrange your own Shabbat meal accommodations. We're glad to recommend Esserie by Rabbi Zalmy & Mushka Dubinksy of Chabad Young Professionals for gourmet Kosher takeout here in Raleigh: https://www.cypraleigh.org/esserie DISCLAIMER: If for some reason we are unable to host you for Friday night dinner/Shabbat lunch, we will recommend ordering Shabbat dinner from Esserie, or arranging your own meals. Please select your preferred rate package over Shabbat: Nightly Rate: $70/nightShabbat Package: $218 How Many Adults?* If you will have children with you, please include their ages and gender with your references below. How Many Children?* If you will have children with you, please include their ages and gender with your references below. Any special food requirements Please check all that apply so we can best accommodate your stay AllergiesCholov YisroelPas YisroelVegeterianOther If you have selected Allergies or Other, please detail Please note that this form does not guarantee your reservation. A follow up phone call or email will confirm your stay with us. Submit Should be Empty: This page uses TLS encryption to keep your data secure.