This form is currently closed. You can help ensure that we can continue providing a warm, welcoming environment that brings people together in times of need and celebration alike. Here’s how: 1 - LChaim To Life Raffle - A chance to win a trip to Israel, jewelry, sports tickets, and more amazing prizes. 2 - Benefactors Evening on June 23rd - Exclusive for our ‘Benefactors Circle’ partners who donate $2,800 and above. Featuring the jaw-dropping illusions of street magician Shlomo Levinger.. At Chabad, we've always been more than just a synagogue – we're a home away from home for people of all ages and backgrounds. But we can't achieve this goal alone - we rely on the generosity of local supporters like you to continue this important work. Thank you for your support! Together, we will continue to make a meaningful difference in the lives of so many. Full Name* First Name Last Name E-mail* YES, I'd like to join the Benefactors Circle and attend the exclusive Benefactors Evening for supporters who donate $2,800 and above. Benefactors are also recognized in the permanent prominent display in the Chabad lobby. Includes 15 raffle entries. Donation* All tickets include raffle entries towards each of the six drawings $180 (includes 1 ticket)$360 (includes 2 tickets)$500 (includes 3 tickets)$750 (includes 5 tickets)$1,000 (includes 6 tickets)$1,500 (includes 9 tickets)$2,000 (includes 12 tickets)$2,500 (includes 15 tickets) Benefactor Amount All gifts include 15 complimentary raffle entries towards each of the six drawings $2,800$3,600$5,000$10,000$20,000 Reservation I will be attending the VIP Reception. Please contact me with more information Total $0.00 Yes, I'd like to donate the cost of processing this transaction by adding 3% Payment Credit Card Paypal Credit Card We accept Visa, MasterCard Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2024202520262027202820292030203120322033 Expiration YearPaypal has been selected. Payment will take place on the next page.Billing 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 TERMS & CONDITIONS: Each raffle ticket allows for their automatic entry in all six drawings, unless their ticket has been previously drawn. By entering this raffle, participant (and participant's parent/legal guardian) waives all rights to claim punitive, incidental and consequential damages, attorneys' fees or any damages other than actual out-of pocket costs incurred to enter. Winners will assume and be responsible for any licensing, registration, and other fees, and any local, state and federal taxes, including without limitation any applicable sales, use, luxury, income and special taxes. The decision of Chabad of Wilmette shall be final on all matters concerning the raffle. By entering the raffle, the participant agrees that his/her name and image may be used for promotional purposes. All participants must be 18 years of age or older. Thank you for supporting a worthy cause. Void where prohibited by law. No purchase necessary: To submit a valid entry without a contribution please submit a handwritten 3" x 5" index card with your complete name, address, telephone number, and email address, and mail to: Raffle - Chabad of Wilmette, 2904 Old Glenview Rd., Wilmette IL 60091, postmarked by June 15, 2024. Should be Empty: This page uses TLS encryption to keep your data secure.