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ב"ה

Sell Your Chametz Form

I (We), the undersigned, hereby authorize Rabbi Yosef Gluckowsky to dispose of all chometz that may be in my (our) house, place of business, or elsewhere - in accordance with the requirements of Jewish Law as incorporated in the special contract for the sale of chometz.
Full Name*

Prefix First Name Last Name
Spouse (if applicable)

Prefix First Name Last Name
E-mail*
Your Address: (where Chametz is located)

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Specify any additional locations here:
The sale of chametz must be completed by a specific time depending on the location where you will be on the morning of Friday, April 19, 2024.
I will be out of town on Passover.
Where will you be?
Some have a custom to include a contribution with the sale of Chametz. Make a difference today!
Contribution Optional

$360$180$90
Total

$0.00

Method:

Credit Card Paypal

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