Mitzvahs Acceptance Form
Institution:
(Choose your affiliated institution)
In Merit of The Immediate Release of S.M. Rubashkin
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.
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2.
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3.
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4.
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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.
1,035,400
Mitzvahs Collected
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