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Kapparot Donation Form

Chabad will distribute your Kapparot donation to the needy.

Simply read the text here for Kapparot (inserting the words Money/Kesef and Tzedakah for hen/rooster) and then fill out the form below to give to charity as your Kapparot.

Suggested donation: $18 per person.

KAPPAROT DONATION FORM:
Full Name*

First Name Last Name
E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*

Area Code Phone Number
Amount*

$18$36$100$180$360$770$1018

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

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