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Hanukah @ Home Celebration Bags

* Name (of person picking up your Celebration Bags)

(First Last)

Kits are free of charge.

Limited to 1 per household. If you are picking up for multiple households, please list the total # you need in the box.

How many Hanukah Kits do you need?

Optional donation $

Donations help us cover the cost of Hanukah Kits for the community.

Will you be attending our virtual Hanukah Celebration?

Yes! Send me the Zoom link to attend!

*E-mail

*First Name

*Last Name

Account

Online Fee:

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total: