Full Name*First NameLast NameE-mail*Car ParadeOur vehicle will be joining the Menorah parade to Spins BowlPlease select one (to be returned at spins bowling)Car top Menorah (safe, non scratch, magnetic)Chanukah car outfitter kitWe will be bowlingYesNoNumber of Bowlers*$7/pp includes everythingHow many adultsHow many childrenHow 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 Month2021202220232024202520262027202820292030Expiration 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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