Event Reservation Form

Contact Information

First Name

Last Name

Zip

Phone

Lulav Sets

Please enter the number of Lulav Sets. A set consists of 1 Lulav, 1 Etrog, 3 Hadassim and 2 Aravot.

Sets are priced at $60 for residents of Arcadia, Temple City, El Monte and Monrovia ONLY. For all others, we charge a convenience fee, total $100

Lulav Set	# of sets	Amount	Total
Arcadia area resident		60.00
Non Arcadia-area resident		100.00
(Optional) Extra set of Haddasim		10.00
Total

Notes

Payment Information

Please enter your credit card information below and click Submit.

If you are paying with Zelle, omit payment info here and send payment to: ChabadArcadia@gmail.com

Charge Amount

Card Number

Card Expiration

Security Code

Same as above

Name on Card

Billing Address

Zip Code