Machon Chana - Special Programs

FACULTY MISHLOACH MANOS ORDER FORM

Please complete the payment portion of this form. Checks should be mailed with this form to Machon Chana.

Name of person ordering:

Contact phone number:

Address:

City, State, Zip

Maiden Name:

Email:

Please add my name to the following faculty members Mishloach Manos

Rabbi Benyamin Baras Mrs. Sara Tova Best

Mrs. Chanie Chaimson Ms. Menucha Chazan

Rabbi Eli Cohen Mrs. Yehudis Cohen

Mrs. Gita Gansburg Rabbi Yitzchak Hanoka

Mrs. Shulamis Heller Rabbi Sholom Jacobson

Mrs. Sara Katzman Mrs. Batsheva Glick

Ms. Esther Goodman Mrs. Sara Labkowski

Mrs. Mirale Lazaroff Mrs. Chanie Loschak

Rabbi Shloma Majeski, Ms. Chanie Majeski

Rabbi Yaakov Osdoba, Rabbi Yossi Paltiel

Mrs. Shulamis Pape Rabbi Sholom D Pape

Ms. Rochel Leah Perl Mrs. Bluma Rappaport

Mrs. Rivky Raskin Ms. Sara Rachmani

Mrs. Raizel Roth Mrs. Sterna Spritzer

Mrs. Riva Teleshevsky Mrs. Tzivia Yaffe,

Mrs. Chanie Vaisfiche Ms Mushky Winner

Pricing:

$5.00 Each

Total amount that will be enclosed: $

I will pay by:
check
money order
credit card

If paying by credit card, which credit card are you paying with?
MasterCard
Visa
AMEX
Discover

Card Number:
Exp. date: CCV:
Name on card:

Please make checks and money orders payable to Machon Chana.
Machon Chana
556 Crown St.
Brooklyn, NY 11213
Fax: (718) 735-9175

For more information please contact Mrs. Sara Katzman at 718-735-0030 or click here to e-mail us.