Two ways to join:

    I would like to participate in the raffle campaign today by contributing:    .

Contribute:
$180............ 1 Ticket
$360............ 2 Tickets
$500............ 3 Tickets
$1800...........12 Tickets

or 

    I would like to join the Chabad Monthly Giving Program.
Please charge    to my credit card each month for the next twelve months.
 (For $18/month you will receive 1 free raffle ticket; for $36/month you will receive 2 free tickets, etc.) 

Your Information

First Name   Last Name
Email   Phone (for prize winning notification)



 



 

 

BILLING: Cardholder Information

 

SHIPPING:

 Please send receipt to this address.    Same as billing information
First Name   Name
Last Name   Address
Address   City
City   State
State   Zip
Zip    
Card Type      
Card Number   Referred by (optional)
Exp. Date  
Yes! I'd like to receive email updates about your programs.
Email addresses will not be shared with any other entity.
CVV Code What's this?  
         

This raffle is a joint project of Chabad of New Canaan and several other Chabad  Centers. All funds raised locally will benefit Chabad of New Canaan exclusively.

Tickets are received as a gift for your contribution