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ב"ה

Sell Your Chametz

Chametz Sale Form
I*
*husband and wife, please specify names. Must be signed by heads of household.
Full Name
First Name(s)Last Name
fully empower and permit Rabbi Avrohom Butman to act on my behalf to sell all Chametz/mixtures of Chametz owned by me, as defined by the Torah and Rabbinic Law, particularly at the address/es listed below, and elsewhere. This power is in conformity with all Torah, Rabbinic and civil laws.
E-mail*

Address*

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

Additional Locations Where Chametz may be Located
Phone Number*
Area CodePhone Number
Where will you be on the morning of April 15th 2022? (Scarsdale, Los Angeles etc.)*
Optional Donation
I'd like to make a donation to support Chabad of Scarsdale's Passover and year round activities.
Thank you for partnering with us!
Amount
$36$72$180$360$540$720$1800
Total
$0.00

Payment

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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