Sale of Chametz
I fully empower and permit Rabbi Konikov to act in my place and stead and on my behalf to sell all chametz possessed by me, knowingly or unknowingly as defined by the Torah and Rabbinic Law (e.g. chametz, possible chametz, and all kind of chametz mixtures). This power is in conformity with all Torah, Rabbinic and Civil laws.
Note: We must receive this form no later than Friday, April 7, 2017
Personal Information
| Please enter your personal information. Use the address in which the Chametz is located | |
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First Name |
Last Name |
| Address |
City |
| State |
Zip Code |
| Phone |
Email |
| Additional Information |
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Optional Donation
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| Card Number |
Expiration |
| CVV Code |
Donation Amount |
