Kaparot

I'm using this form to:

Have someone else do it on my behalfDo Kapparot with moneySponsor a Chicken for Someone Else
Chicken for Male
$26
Chicken for Female
$26
Number of Chickens to Sponsor
$26
Optional tip for the person that will do it on your behalf
Kaparot with Money Usually done in multiples of 18
Full Name*
First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Optional Donation Note: Chabad Chayil hosts Kaparot with pleasure. But all proceeds goes to the organizer, South Florida Jewish Academy. Please help cover at least the processing fee.
Total*

$
Notes

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

Total

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

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Non Ticketed Kapparot Form