CHANUKAH PARTY REGISTRATION AND RAFFLE ENTRY

YOUR INFORMATION  
First Name Last Name Address
City, State, Zip Phone
  
     

DONATION - OPTIONAL                                                               

Expiration     What's This?

 
 
     

I would like to pay by:   
Check (Mail to Chabad of Toluca Lake 10153 1/2 Riverside Drive , Unit 567, Toluca Lake, CA 91602)

Thank you! Your name will be entered into our raffle!  Winner must be present at the Chanukah Menorah Lighting on Monday, December 3rd in order to claim prize!