RAFFLE GRAND PRIZE $10,000

Raffle Drawing 2022

• Full Name:*
  First Name Last Name
• Phone Number:*
  Area Code Phone Number
• E-mail:*
• Address:*

  Street Address
  City	State / Province
  Postal / Zip Code

• Raffle Tickets:

• Ticket Options:
  $36: 1 ticket in Grand Raffle $100: 4 tickets in Grand Raffle $180: 9 tickets PLUS One entry for 2 tickets to Israel $360: 20 tickets PLUS Two entries for 2 tickets to Israel $770 (Raffle Sponsor): 50 tickets PLUS 5 entries for 2 tickets to Israel $1000 (Mazal Sponsor): 75 tickets PLUS 7 entries for 2 tickets to Israel $1800 (Chai Sponsor): 150 tickets PLUS 10 entries for 2 tickets to Israel $3600 - 300 tickets plus 20 entries into the Israel raffle

  $5400 - 450 tickets plus 30 entries into the Israel Raffle
  

• Payment Information:

• Total:
  $0.00
• Payment

  Credit Card
  Credit Card Type Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 Expiration Year

 All proceeds from this raffle submission will go to the Miami Kosher Food Bank to give food to families in need. 
This Raffle is run in partnership with other local Chabad centers.