Chametz Rabbi Polakoff - The Bais HaVaad Halacha Center

Mechiras Chametz Appreciation Gift for Rabbi Polakoff:

Maos Chittim Donation:

Please distribute:

Enter Maos Chittim Amount (per needy family)*

Please distribute the above Maos Chittim amount to the following number of needy families

Maos Chittim Amount

Please distribute the above total Maos Chittim amount on behalf of myself as well as on behalf of

Additional members of my family

Maos Chitim Subtotal

Price: $0.00

Maos Chitim Subtotal

Price: $0.00

Formula

Price: $0.00

Formula Amount

Price: $0.00

Total donation to be processed:

$0.00

Please distribute to families in:

Name

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Total donation to be processed:

$0.00

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name