This is not an order form this is a customization formso please fill out the order form Click Here

Instructions:
1) Change the text in the boxes to reflect your Chabad Center's information
2) VERY IMPORTANT: CAREFULLY GO OVER THE TEXT AS THE FORM WILL SUBMIT EXACTLY WHAT YOU ENTER.

3) Fill out all your personal and Chabad Center's information
4) Fill out your order details
5) Press the 'Submit Information' button
6) You will be contacted by the Shluchim Office either via email or phone as the order is being processed

Brochure Changes:

RETURN ADDRESS
INDICATE RETURN SERVICES OR NOT
MAXIMUM 25 WORDS

INDICIA
MAXIMUM 15 WORDS

DATES AND TIMES

MAIN AD HEADER

FIRST SEDER

SECOND SEDER

GENERAL INFORMATION




Shliach Information:
First Name*
Institution
Last Name*
Address
Email*
City
Phone*
State / Provence
Fax
Zip
*Required Information
Country

Order Details:
Amount:

Comments: