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Lulav & Esrog Order Form

ORDER YOUR LULAV & ESROG
Celebrate the Holiday of Sukkot with your own set of the Four Species
Name*

First Name Last Name
I'd Like to Order

Basic Set $50Premium Set $90Lulav Bag $15
E-mail*
Phone Number

Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Optional Contribution I'd like to make an additional contribution to support Chabad's Sukkot activities

$50.00$75.00$100.00$180.00$500.00$1000.00$1800.00
Total

$0.00

Yes, I'd like to donate the cost of processing this transaction by adding 2.75%

Payment

Credit Card Paypal Check/Cash

Postal / Zip Code

Country

Thank you!

Your order will be available for pick up after Yom Kippur, at the Chabad House of Downtown, 407 S. High Street.

Please call, 410-605-0505 or email before coming. If you need your order delivered (in the Downtown area) please request so in the comments below. Payment of cash, check or debit/credit card due at time of pickup.
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