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Shliachs Name Please Enter a name

Shluchas First Name

Family Name

Email Please enter your email

Cell Phone Number Please enter your cell phone number

Chabad House or Organization name

Chabad House or Organization Website

Home Address

Please describe the need at the moment for the funds

Give a short two sentence description of your mossads work example: "Chabad of Downtown serves the Jewish community of the greater downtown area and in particular business and entrepreneurs "

Please attach your logo!! (We really need this if you have one)

Best way to send funds your way Paypal - Zelle or other relevant payment info to send you funds.

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