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Hero Shabbat Package

Let us say Thank You to our healthcare workers, first responders, teachers, and other heroes for their tireless efforts and unconditional love!

Nominate a Jewish hero in our neighborhood and Chabad Owings Mills will send him/her a special Shabbat package this Friday (May 1st)!
NOMINATE A HERO
Nominate?*

I would like to nominate a Hero Not at this time

Hero 1

Name (first and last)
Street Address
City	State / Province
Zip Code	Country

Hero 2

Name (first and last)
Street Address
City	State / Province
Zip Code	Country

Hero 3

Name (first and last)
Street Address
City	State / Province
Zip Code	Country

HELP DELIVER ON FRIDAY, MAY 1
Help Deliver?*

Yes Not this time
SPONSOR A HERO
Sponsor?*

I would like to sponsor 1 Hero - $18 I would like to sponsor 2 Heroes - $36 I would like to sponsor 3 Heroes - $54 Program co-sponsor - $180 Not at this time
Total Amount

$
YOUR INFORMATION
Full Name*

First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
PAYMENT INFO (if applicable)

Payment

Credit Card

Credit Card Type
Credit Card Number
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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