Menorah Kit order form Complementary gift from Chabad of Mar Vista Items* MenorahCandlesDreidel Full Name* First Name Last Name E-mail* Phone Number* Area Code Phone Number Program Sponsoship $540$180$54 Total $0.00 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 Month2023202420252026202720282029203020312032 Expiration YearPaypal has been selected. Payment will take place on the next page. I would like to receive news and updates by email Submit Should be Empty: This page uses TLS encryption to keep your data secure.