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Hareini Mekabel Stickers Order Form
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* Indicates required question
School Name (or personal name if not a school)
*
Your answer
Email Address
*
Your answer
Contact Name
*
Your answer
Contact Cell Phone Number
*
Your answer
Question for Tzivos Hashem Bases ONLY (Does not include parents):
I will pickup my order from the Tzivos Hashem warehouse on Empire
Please ship my order (will be shipped to the school shipping address on file)
Clear selection
Question for NON Tzivos Hashem Bases/Parents ONLY:
I will pickup my order from 535 Empire Blvd, once I'm notified that it's ready
I will pickup my order from the Jewish Children's Museum 5th floor- 792 Eastern Parkway, once I'm notified that it's ready
Please ship my stickers
Clear selection
If applicable (see previous question), what is your Shipping Address?
Your answer
How many English Stickers would you like to order?
*
Your answer
Would you like to DONATE to help cover the costs? If yes, how much?
Your answer
Name on Credit Card
Your answer
Card Number
Your answer
Expiration Date
Your answer
Security Code
Your answer
Billing Address (include street number, street name, city and state)
Your answer
Billing Zipcode
Your answer
Comments
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