Mezuzah Order Form

Congratulations on taking this step to protect your home!
A mezuzah mounted on the right side of the doorpost designates the home as Jewish, reminding us of G‑d and our heritage. It is also a symbol of G‑d's watchful care over the home. The placing of a mezuzah on the doors of a home or office protects the inhabitants whether they are inside or outside.
Full Name:*
First Name Last Name
Phone Number:*

Area Code Phone Number
E-mail:*

Address:*

Mezuzah Selection
We have Mezuzah sponsors! If you can't afford a mezuzah please call the office (407) 644-2500. Chabad is here to help you!
Small Mezuzah Scroll: $85 each
Medium Mezuzah Scroll: $90 each
Large Mezuzah Scroll: $118 each
Donate
Help those less fortunate:

Sponsor 5 Mezuzahs - $425Sponsor 3 Mezuzahs - $255Sponsor 1 Mezuzah - $85
I would like a Rabbi to come to my home and help me put up my Mezuzah - Free of Charge!
Total:

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%

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

City

State / Province

Postal / Zip Code

Country

This page uses TLS encryption to keep your data secure.

Mezuzah Selection