Lulav and Etrog Order Form
Orders must be placed by Monday, September 30.
You will receive an email when your lulav and etrog set is ready to pick up. We expect that orders may be picked up between Monday, October 14 and Wednesday, October 16.
Registration Information
First Name
Last Name
Email:
Address
City
State
Please select...
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code
Lulav Information
Standard Lulav/Etrog Set
Please select...
1
2
3
4
at $69 each
Quality Lulav/Etrog Set
Please select...
1
2
3
4
at $82 each
Total Amount:
$
Please select a payment method:
Credit Card
ACH/eCheck
Electronic Check (ACH) Payment
Bank Routing Number
Bank Account Number
Confirm Bank Account Number
Bank Account Type
Please select...
Checking
Savings
Bank Name
Account Holder Name
There is a 3% transaction fee for paying by credit card.
There is no fee for paying by eCheck.
I understand and agree to the 3% transaction fee.
3% Fee Information
Fee
$
New Total
$
Credit Card Payment
Credit Card Number
Verification Code
Expiration Month (MM)
Expiration Year (YYYY)
Use a different billing address?
Please select...
Yes
No
Billing Street
Billing City
Billing State
Please select...
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Billing Zip Code
Please click the Submit button only once to avoid being charged multiple times.
The form can take up to 1-2 minutes to process.
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