Shalach Manot$36 / $54 / $180 $36 - Number of Baskets $54 - Number of Baskets $180 - Number of Baskets Total: $ Full Name* First Name Last Name E-mail* Cell:* Area Code Phone Number 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 Month2026202720282029203020312032203320342035 Expiration Year By submitting this form, you are authorizing Chabad of Coral Springs to run your credit card for the amount stated above. Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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