Full Name*First NameLast NameE-mail*Phone Number*Area CodePhone NumberNumber of Tickets:*Minimum $36 for entry to raffle$100 (4 Entries)$180 (9 Entries)$360 (20 Entries)$770 (50 Entries)$1,000 (75 Entries)$1,800 (150 Entries)In Honor/Memory of:Payment*Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2022202320242025202620272028202920302031Expiration YearBilling AddressStreet AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountryTotal$0.00I would like to receive news and updates by emailPlease note: The deadline for submissions and to purchase tickets is Sunday, August 21, 11:59pm.After this date, while we are grateful for your support of this campaign as a donation, we will be unable to include the entries into the raffle.The raffle drawing will take place on Wednesday, August 24, 2022.Thank you for understanding and thank you for your support!SubmitThe prizes are a joint effort of multiple participating centers. ALL funds raised locally benefit Chabad of Altamonte Springs exclusively.STUFF OUR LAWYERS TOLD US TO TELL YOU: FREE ENTRY ROUTE AVAILABLE. NO PURCHASE OR ENTRY FEE NECESSARY TO ENTER OR WIN PRIZE. The "Chabad of Florida 2022 Raffle" begins at 9:00 AM Eastern Daylight Savings Time ("EDT") on June 1, 2022 and ends at 11:59 PM EDT on August 21, 2022. The "Chabad of Florida 2022 Raffle" is open to legal residents of the 50 United States (EXCLUDING RESIDENTS OF TEXAS) and the District of Columbia who have reached the age of majority in the jurisdiction in which they reside at time of entry. Total approximate retail value of all prizes to be awarded: up to USD $13,650. Void where prohibited by law. Odds of winning depend upon the number of eligible entries received. Limit one (1) prize per household. See terms and conditions for details: www.chabadaltamonte.com/raffleterms.Should be Empty: This page uses TLS encryption to keep your data secure.