Printed fromChabadBrandeis.org

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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.

Mezuzah pick up is at the Chabad House.
Full Name*
First Name Last Name
Year*
E-mail*
Phone Number*

Area Code Phone Number
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

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