This order form is for Guests. If you are from the local Orlando community, please use the "Matzah & Wine Order Form" in the Pesach section, for pick up at Chabad Center. Please submit this form by April 1. Wine and Grape Juice No. of Kedem Grape Juice (64oz) $9.99 per bottle No. of Rashi Light Red Concord $8.99 per bottle No. of Rashi Light Pink Concord $8.99 per bottle No. of Barkan Shiraz $15.99 per bottle No. of Rashi Joyvin Red $13.99 per bottle No. of Baron Herzog Jeunesse $15.99 per bottle No. of Bartenura Moscato d'Asti $15.99 per bottle No. of Bartenura Malvasia $15.99 per bottle No. of Herzog Cabernet Special Reserve $52.50 per bottle Hand Made Shmura Matzah No. of lbs. of NY Matzah Regular $37 per lb. Hashgocha; Beis Din of Crown Heights, Rabbi Bik Shlita, or Rabbi Veider Shlita (the Linzer Rov) No. of lbs. of NY Matzah Whole Wheat $37 per lb. Hashgocha; Beis Din of Crown Heights, Rabbi Bik Shlita, or Rabbi Veider Shlita (the Linzer Rov) No. of lbs. of Israel Matzah - Kfar Chabad $26 per lb. Hashgocha; Option A: Holyland New Square kashrus & OU. Option B: Nirtzah, CRC Chicago & Rabbi Mordechai Gross Delivery Mandatory Delivery fee for items to reach Orlando, for pick up at Chabad, Sand Lake Rd. Delivery to Villa Delivery to Pesach Villa - in Chabad Villa Shul community, Reunion, or Champions-Gate only - $50 Resort Community Name* Villa Address* Street Address Street Address Line 2 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 Your Info Full Name* First Name Last Name Email* I would like to receive news and updates by email Total $0.00 Payment Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - 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