FORM IS NOW CLOSED Order: Before 7pm on Tues. Nov. 24th Pickup: 5:00-5:30 PM on Wed. Nov. 25th. Please note the new pickup location in Viera - 7350 Lake Andrew Dr, Melbourne, FL 32940Full Name*First NameLast NameEmail*Please make sure your email is correctI would like to receive news and updates by emailPhone Number Area CodePhone NumberPlease check oneOne per familyOne free Pumpkin Pie and ChallahI just love the idea and want to sponsor but I don't want the foodOptional: TurkeyNo longer availableIf more become available, please reserve one for meSponsorship opportunities*No sponsorshipSponsor $18Sponsor $36Sponsor $100Silver Sponsor $180Gold Sponsor - $360Project Sponsor - $1500Total$0.00 USDPaymentIf applicableCredit Card Check Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2020202120222023202420252026202720282029Expiration YearSubmitHaving issues submitting? Please make sure all required fields marked with * are completed. An email confirmation will be sent a few moments after submission. If you do not receive an email, your form was not properly submitted. For assistance, please reach out to Mrs. Shulamit KonikovShould be Empty: This page uses TLS encryption to keep your data secure.
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