This form is currently closed. All events are free of charge Full Name* First Name Last Name E-mail Phone Number Area Code Phone Number Adults* Children Which event will you attend? Night 7 Wed // Dec 13 Chanukah Party 4:30 Publicize Chanukah by having a Menorah on Your vehicle Would you like a Car Menorah on your Vehicle? We will provide the Menorah and secure it to your vehicle, strong enough to go on the highway Yes, for the duration of ChanukahYes, for the night of the Parade Donation / Volunteer I would like to volunteerI would like to donate Amount $54$180$500$1800 Payment Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2024202520262027202820292030203120322033 Expiration Year Comments? Questions? Contact the Chabad Jewish Center:808-999-9161[email protected] Should be Empty: This page uses TLS encryption to keep your data secure.
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