Full Name First Name Last Name E-mail Phone Number Area Code Phone Number General Dedications: $10,000 - Book of the Torah - ספר x 5: One complete book of the Torah will be dedicated to your family name or the name of a loved one. $7,700 - Etz Chayim - עץ חיים: The beautiful wooden and silver handles/poles to which the parchment of the Torah is attached. $2,500 - Yad - יד: A silver yad (pointer) $1,080 - Belt (Gartel): A beautiful velvet belt to wrap the Torah. Special Requests: $1,800 $5,000 - The Ten Commandments (Exd. 20:1) $5,000 - The Shema (Deut. 6:4) x 2 $3,600 - Shira - the Song at the Red Sea (Exd. 15:1) $3,600 - Birchat Kohanim - The Kohen's Blessing (Num. 6:22) $3,600 - Akeida - Story of binding of Isaac $2,500 - 13 Attributes of G‑d's Mercy (Exd. 34:5) $2,500 - Vayehi Binsoa - Prayer at the Ark Opening $1,800 - Blessings to Children (Gen. 48:20) $1,800 - Chazak - The final verse in the Torah (Deut. 34:12) Please check to reserve any of the following dedications: Letter in the Torah - אות Endow letters of a Jewish name for you and/or loved ones $100 Specify Letter: Word in the Torah - מילה Endow a word or phrase with special meaning to you and/or loved ones $180 Specify Word: Verse in the Torah - פסוק Endow a verse with special meaning to you and/or loved ones $360 Specify Verse: Weekly Torah Portion - פרשה Endow a Torah portion of significance to you and/or loved ones $1000 Specify Portion: Total $0.00 Payment Credit Card Paypal Credit Card Visa MasterCard American Express Discover Credit Card Type Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 Expiration Year Paypal has been selected. Payment will take place on the next page. Billing Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Please Select United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile People's Republic of China Republic of China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia Spain Sri Lanka Sudan Suriname Svalbard Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other Country Submit Should be Empty: This page uses TLS encryption to keep your data secure.