Pesach 2023 - Congregation Bonai Shalom

* First Name

* Last Name

Location of your Chametz:

My chametz is located: (state where in house it is found, e.g., garage, basement, cabinets, etc)

I hereby appoint as my Rabbi Marc Soloway to act on my behalf in the sale of all leavened goods and products belonging to me and the members of my household residing with me, whether or not these items are kept on my property and including all chametz of which I am aware and that of which I am not aware. Ownership and any right to use or have benefit from these products shall pass from me at 12:00 am on Wednesday, April 5, 2023 and revert to me 42 minutes after the solar sunset on the night of Thursday, April 13, 2023.

Print Your Name for Signature

Today's Date

Street Address

Address Line 2

City

State

ZIP Code

* Digital Signature Authorizing Sale

Please submit this form so that it is received by 10 am on Wednesday, April 5th, 2023.

It is customary to accompany this form with an act of Tzedakah. A donation to the fund of your choice would be greatly appreciated at this time.

Tzedakah

Enclosed is my gift of

My contribution is in recognition of the following occasion:

In honorIn memoryOther

of (Name)

Make my donation anonymous