Printed fromJewishDowntownPhoenix.com

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Mezuzah Order Form

Just moved to town or to a new home? Haven't had a chance to put up a Mezuzah yet?

We can help! We have the highest quality Kosher certified Mezuzahs that are handwritten by a scribe according to tradition. Each scroll comes with a protective clear plastic cover.

Order your Mezuzah today!

Once we receive your order, we'll reach out to schedule a convenient date and time to affix the Mezuzah on your door!
Full Name*
First Name Last Name
Phone Number*

Area Code Phone Number
E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mezuzah Info
Number of Mezuzahs you wish to order*
$70 per mezuzah
Payment Info
Our top priority is ensuring every Jewish home in Downtown Phoenix has a Mezuzah on their door. We suggest a $70 donation per Mezuzah to help cover costs. If you’re unable to donate right now, please reach out to us--we’d be happy to place a Mezuzah on your door at no charge.

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
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