Welcome to the Community Gift Order Form

First Name

Last Name

Email

Cell Phone

Mailing Street

Mailing City

Mailing State/Province

Mailing Zip/Postal Code

Sponsoring Rabbi

Status

Please select... Attended Attended - Walk In Canceled Cancelled Connected Converted Current Enrolled Expired Former No Show Planned Received Registered Responded Responded - No Responded - Yes Sent Tentative

------------------------------------------------------------------------------------------------------------Please select your top three choices for your gift, in order of preference. At the bottom of this form is a spot for you to indicate which Chumash (Jewish Bible) or prayer book you would like. If "Other" is one of your choices, please tell us what the item is that you would like.

If you have questions, please contact Sharon Wyner at swyner@lappinfoundation.org or
978-565-4450.

Welcome to the Community Gift - First Choice

Please select... Tefillin and tefillin bag Mezuzah and kosher parchment Kiddish cup Tallit and tallit bag Shabbat/holiday candlesticks Menorah Seder plate Chumash (Jewish Bible) Prayer book Other

Welcome to the Community Gift - Second Choice

Please select... Tefillin and tefillin bag Mezuzah and kosher parchment Kiddish cup Tallit and tallit bag Shabbat/holiday candlesticks Menorah Seder plate Chumash (Jewish Bible) Prayer book Other

Welcome to the Community Gift - Third Choice

Please select... Tefillin and tefillin bag Mezuzah and kosher parchment Kiddish cup Tallit and tallit bag Shabbat/holiday candlesticks Menorah Seder plate Chumash (Jewish Bible) Prayer book Other

If you chose a Chumash (Jewish Bible), a Prayer book or Other, please indicate in the box below which Chumash (Jewish Bible) and/or Prayer book and what the Other item you would like to receive is:

If you have questions, please contact Sharon Wyner at swyner@lappinfoundation.org or
978-565-4450.