Printed from ChabadofLaguna.com

Summer Raffle Order Form

Summer Raffle Order Form

Chabad of Laguna's Grand Summer Raffle!

Support Chabad's activities and enter for a chance to win a vacation for two to Israel!

Tickets can be purchased for the price of $180. You can choose to purchase five tickets at a discounted rate of $750, or ten for $1300.

Ticket Holder Information (for prize winner notification)

Name 

Email Address

Phone Number  

Billing Information 

Name    Address  

City  State  Zip  Email

Check Visa Mastercard Amex  Discover Total Purchase Amount $

Card Number  Exp Date  Cvv Code

 

 

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