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Shabbat in a Box

Shabbat in a Box

shabbat in a box webjpg.jpg

                   

If you would like to sponsor, volunteer your time, or suggest an individual that needs care please fill out the secure form below.

Personal Information
First Name   Email Address
Last Name   How did you hear about the program?
      Please select one or more of the following: 
Address      I would like to sponsor one Shabbat in a Box delivery to a local individual: $26.50
City   I would like to volunteer my time
      I would like to suggest an invididual or
couple that should receive a Shabbat in a Box package
State   Please fill out the name, address and contact info for the individual that needs care:
Zip  
Home Phone  
Cell Phone      
         
Donation Options
Bill me Charge CC Below   I will mail a check 
Card Type   Cvv Code
Card Number   Total amount to be charged
Exp Date   Name on Card

 

 

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