Home | HS Lulav & Etrog Order Form HS Lulav & Etrog Order Form 2024 Parent Name(Required) First Last Parent Email(Required) Student / Faculty Name(Required)(Person the order will be distributed to) First Last Student / Staff Class(Required)(Class of person the order will be distributed to)Select One9th Grade10th Grade11th Grade12th GradeFaculty / StaffMehudar ($60/Set)Please select the number of Mehudar sets you would like to order.12 345678910Chinuch ($50/Set)Please select the number of Chinuch sets you would like to order.12345678910Donate a set of arba minim to an IDF solider ($27/Set)Please select the number of arba minim sets you would like to donate to IDF soliders.1234567891011121314151617181920OtherPlease enter the number of arba minim sets you would like to donate to IDF soldiers. Quantity Price: $27.00 Quantity Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Billing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
