Order your Shmurah Matzah at Chabad of Longmont! Each 1 lb. box of Shmurah Matzh is $20 Shmurah Matzah Order Form Number of Pounds 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Last Name First Name Address City/State/Zip Phone Email Amount to be Billed: Card Number CVV Security Code Card Type Expiration Date Select MasterCard Visa Amex Discover Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2014 2015 2016 2017 2018 2019 2020 Please mail to: Chabad Jewish Center of Longmont • 195 South Main St. Suite #4 • Longmont, CO 80501 This page uses 128 bit SSL encryption to keep your data secure.