Mitzvahs Acceptance Form

Institution: (Choose your affiliated institution)

If your institution is not listed please contact Rabbi Mendy Levy at (305) 868-1411 ext. 7333 or email MillionMitzvahs@theshul.org.

First Name: *

Last Name: *

Hebrew Name: *

Mother’s Hebrew Name: *

Address:

City:
State:
Zip:
Tel (home):

Tel (cell):

Email: *


I am, Bli Neder, taking upon myself the Mitzvah of: *
 
1.
Daily Weekly Monthly Select Mitzvah
2.
Daily Weekly Monthly Select Mitzvah
3.
Daily Weekly Monthly Select Mitzvah
4.
Daily Weekly Monthly Select Mitzvah

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For more information please contact us at:
MillionMitzvahs@theshul.org or (305) 868-1411x7333
 
*Upon Registration we will email you your ‘Million Mitzvahs Receipt’ together with a beautiful Mitzvah Certificate embracing you as an official partner in this campaign.
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1,035,400
Mitzvahs Collected
 
   
 
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