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ב"ה

Sale of the Chametz Online

I (We) hereby authorize Rabbi Yossi Freedman to sell all Chametz that may be in our possession wherever it may be: at home, at my (our) place of business, or elsewhere, in accordance with the requirements of Jewish law as incorporated in the special contract for the sale of Chametz.
Full Name*

First Name Last Name
E-mail*

Home Address*

Street, Apt., City, State, Zip
Additional locations, second home etc.
City	State / Province
Postal / Zip Code	Country

Work Address

Street, Suite, City, State, Zip
Additional locations, second office, warehouse etc.
City	State / Province
Postal / Zip Code	Country

Virtual Signature* Write in your name
Today's date*

Month Day Year
Should be Empty:

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