This form is currently closed. Get ready to roll, fill, and fold! Create customized hamentashen with all your favorite fillings. Enjoy some yourself and package the rest to share with Jewish seniors in our community; spreading sweetness and smiles! Want more details? Click Here Teen Full Name* First Name Last Name Teen's E-mail* Teen's Cell Number* Area Code Phone Number How many people will join?* Parent's Name First Name Last Name Parent's Cell Please add the names of others joining: Would you like to make a donation? YesNot this time Donation Amount $50$75$100 Total $0.00 Payment Credit Card Paypal eCheck Cash/Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number 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. Bank Name Routing Number Account NumberCheckingSavingsBusiness Account TypeI will pay in person or mail a check For more info: Visit www.harfordchabad.org Call Fraida Schusterman at 443-353-9718 x3 or email [email protected] Should be Empty: This page uses TLS encryption to keep your data secure.