Full Name* First Name Last Name E-mail* Phone Number* Area Code Phone Number Chanukah Event you are attending:* Ckids Chanukah Disco Menorah Car Parade Shabbos Meal Names of children joining Ckids Disco: How many Cars are joining the parade? Number of people attending the Chanukah Shabbos Meal: If you need a menorah or candles, please reach out to Rabbi Leibel: 631-329-5800 ext. 3 I'd like to help cover Chanukah activities: Large Public Menorah: $2,500 I'd like to sponsor 1 Large Menorah I'd like to sponsor part of a Large Menorah $1000 Car Menorah: $250 I'd like to sponsor 1 Car Menorah I'd like to sponsor 2 Car Menorahs I'd like to sponsor 3 Car Menorahs Doughnuts: $180 I'd like to sponsor the Doughnuts for a Menorah Lighting Latkes: $100 I'd Like to sponsor the Latkes for a Menorah Lighting Donation: $0 USD Total Charge $0.00 USD Payment Method Credit Card check/cash Credit Card Visa MasterCard American Express Discover Credit Card Type Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 Expiration Year Submit Should be Empty: This page uses TLS encryption to keep your data secure.