Menorah Form

Offer limited to people living in Gowanus or the surrounding neighborhoods. If you live somewhere else, please contact your local Chabad center.

First Name *

Last Name *

Email *

Phone *

Street Address (Primary) *

City (Primary)

State (Primary)

Postal Code (Primary)

I'd like to receive a Menorah kit

Yes No

I'd like to receive a box of candles

Yes No

I'd like to gift a Menorah kit or candles to someone else

If you'd like to gift a Menorah or candles, please input the person's name and contact information.

Consider partnering with us to spread the light of Chanukah!

I'd like to donate to this campaign

Suggested Donation: Menorah Kit: $5 Candles: $3

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