Ezra Care – 100ksweepstakes.com

Currency*

Ticket Options*

3 for £55
- - 3 entries into the £36,000 Grand Prize
- - 3 entries into each of the 2 additional prizes
2 for £40
- - 2 entries into the £36,000 Grand Prize
- - 2 entries into each of the 2 additional prizes
1 for £25
- - 1 entry into the £36,000 Grand Prize
- - 1 entry into each of the 2 additional prizes
Other Amount

Other Amount

PERSONAL INFORMATION*

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Shabbos Room Sponsorship

Enter the Parsha/Week you would like to sponsor

Please select which Hospital Room you would like to sponsor

Please credit my donation

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Coupon

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Payment Options*

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Registered Name*

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I authorize Ezra Care to collect this donation from the voucher company selected.

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Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional Notes:

Total:

£ 0.00

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