B"H Please fill out and submit this form to order Lulav & Etrog Orders / Kapparot Orders First Name * Last Name * Phone * Email * 0 1 2 3 4 5 Kapparot Tzedaka $36 per person 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5 Lulav/Etrog Standard Set ($54 per set) 0 1 2 3 4 5 Lulav/Etrog Mehudar Set ($72 per set) 0 1 2 3 4 5 Card Type Visa Mastercard AMEX Card Number Expiration Date 01 02 03 04 05 06 07 08 09 10 11 12 2024 2025 2026 2027 2028 2029 CVV Code I prefer to pay by cash or check This page uses 128 bit SSL encryption to keep your data secure.