Full Name*First NameLast NameE-mail*Number of people*123Family (more than 3)How many adultsHow many childrenPlease select oneWe will participate outdoors (parking at entrance)We will be staying in the car for the full program and would like to reserve a show parking spot. (please only check if you will not be leaving your car, as there are limited slots)Car ParadeOur vehicle will be joining the car top Menorah parade following the program (approx. 4:30)Please select oneCar top MenorahChanukah car outfitter kitPlease select oneBuild your ownHave a Menorah mounted on the top of your car (safe and secure, no scratches)Please click here to choose a timeslot. Please continue completing this formChanukah car outfitter kitAdvance pickupPickup up at eventHow did you hear about this eventZip CodeBecome a Chanukah sponsor$50 USD$180 USD$360 USD$500 USD$1000 USDTotal Charge$0.00 USDPayment MethodCredit Card Paypal Other Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2020202120222023202420252026202720282029Expiration YearPaypal has been selected. Payment will take place on the next page.If using CC on file put last 4 digits in special onstructions box. Check? Mail Check payable to ChabadComments? Questions?SubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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