Full name:* E-mail* Cell Number* Area Code Phone Number How many people attending in your vehicle* Will you be joining for the:* Menorah parade & lightingMenorah lighting Do you want a menorah placed on your vehicle for the parade?* YESNO Please choose a time slot for your vehicle Menorah pickup: 5:00pm5:05pm5:10pm5:15pm5:20pm5:25pm Would you like to donate to help cover the costs of the event:* YESNO Donation amount:* $18$36$50$100$180$360 Payment* Credit Card Paypal 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 Month2025202620272028202920302031203220332034 Expiration YearPaypal has been selected. Payment will take place on the next page. Submit Should be Empty: This page uses TLS encryption to keep your data secure.