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Mezuzah Order Form

Order your Mezuah here.
The cost of a Mezuzah is a subsidized $54, and when you return your Mezuzah you get a full refund.
Full Name*

First Name Last Name
Year*
E-mail*
Phone Number*

Area Code Phone Number
You can pick up your Mezuzah from Chabad or have it delivered to your Mail Box.
Mail Box Number (If you want it delivered)
I'd like assistance posting the Mezuzah on my door
Cost: $54 a Mezuzah

$54$100
Total

$0.00
I'd like a scholarship for a Mezuzah*

Payment*

Credit Card Check, Cash or Scholarship, Venmo to @chabadbrandeis

Postal / Zip Code

Country

Comment
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