RSVP TO THIS EVENT BY DEC 10th and be automatically entered to our raffleFull Name*First NameLast NameE-mail*Phone Number*Area CodePhone NumberAdultsChildrenI will be attendingGolf Cart Parade with my Golf CartWill join someone in their golf CartGrand menorah Lighting ActivitiesI would like to contribute to the cost of the event$50.00 USD$75.00 USD$100.00 USD$360 USDTotal Charge$0.00 USDPayment MethodCredit Card Other Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2022202320242025202620272028202920302031Expiration YearIf using CC on file put last 4 digits in special onstructions box. Check? Mail Check payable to ChabadComments? Questions?I would like to receive news and updates by emailSubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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