I would like to participate in Chabad of the Town's Sefer Torah.
Please reserve the following dediation(s):

 Crown $5,000
 Breastplate $3,600
 Yad $1,500
 Torah Portion $1,000
 Verse $360
 Word $180
 Letter $100
 New Ark for Torah $7,700
 Special Selections: $1,800
                    You may choose to mark a personal occasion or to connect to a unique blessing in the Torah.  Some of the selections include:
          Blessing for Children Hashem, Hashem-13 Attributes of Mercy
        Az Yashir-Splitting of the Sea Bircat Kohanim-Priestly BLessing
        Ten Commandments Shema Yisroel
        Vayehi Binsoa Chazak-End of Book


You will receive a beautiful certificate in appreciation of your gift to Chabad.
All donations are tax deductible.

Total dedications in the amount of $
In honor of
In loving memory of

If endowing for more than one person, please type it in the box below:

Please send certificate to:

Name: 
Address:

City, Province, Zip:  
Home Phone: Work Phone:
E-mail:


Please charge my credit card.   

Credit Card No.
Exp.

Name on Card/Signature  

Please make checks payable to Chabad of the Town