This form is currently closed. Order by Tue. | Pick up Thu, Sept. 18 between 5:30-6:00pm Pick-up location: Gazebo outside the Bethel Creek House - 4405 Jimmy Buffett Mem Hwy, Vero Beach, FL 32963. Please text/call us - 772-245-6712 if you need any assistance or if you have any issues finding us when you arrive. Volunteer: Please let us know if you are available to deliver holiday kits to the elderly or assisted living locations. Free Holiday Package includes: Sweet Round Challah, Honey Cake, Apple & Honey, Holiday Candles, Blessing and instruction Guide See flyer Yes Full Name* First Name Last Name E-mail* Phone Number Free Holiday Package?* Limit 1 per household Yes, I want to reserve 1 Free Holiday Package (Sweet Round Challah, Honey Cake, Apple & Honey, Holiday Candles, Blessing and instruction Guide)No, I am declining the Free holiday package but I wish to purchase, sponsor or volunteer (below) Can you volunteer?* Yes, I can volunteer to deliver holiday packages to Jewish elderly and assisted living facilities. Please contact me.No Optional Extras for purchase: Extra Holiday Package $15ea will be added to your total Sweet Round Challah $8ea will be added to your total Honey Cake (6" x 3.5") $6ea will be added to your total Sponsorship opportunities:* No sponsorshipChai - $182x Chai - $366x Chai - $108Silver Sponsor - $180Gold Sponsor - $360Project Sponsor - $1,000 Payment Credit Card Paypal Check 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 Month2025202620272028202920302031203220332034 Expiration YearPaypal has been selected. Payment will take place on the next page.Checks can be made out to "Chabad of Vero Beach.Our office mailing address is 210 Carole Ct, Satellite Beach, FL 32937Billing Address Street Address City State / Province Postal / 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 SaharaYemenZambiaZimbabweOther Country Total $0.00 Comments I would like to receive news and updates by email Having issues submitting?Please make sure that all required fields marked with * are completed.An email confirmation will be sent a few moments after submission. If you do not receive an email, your form was not properly submitted.For assistance, please reach out to [email protected] or call/text 772-245-6712 Date & Time Month Day Year at 123456789101112 Hour001020304050 MinutesAMPM Should be Empty: This page uses TLS encryption to keep your data secure.