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Ticket Holder

First Name   Last Name
Address   City
State   Zip
Phone   Email

Payment Amount $ Number of Tickets
Card Type   Exp Date
Card Number   CVV Code

Solicited by / Comments

Cheder Lubavitch is a non-profit, tax-exempt, 501(c) 3 organization.
Your gift is tax-deductible to the full extent allowed by law. Rules