Full NameFirst NameLast NameE-mailPhone NumberArea CodePhone NumberGeneral 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 - אותEndow letters of a Jewish name for you and/or loved ones$100Specify Letter:Word in the Torah - מילהEndow a word or phrase with special meaning to you and/or loved ones$180Specify Word:Verse in the Torah - פסוקEndow a verse with special meaning to you and/or loved ones$360Specify Verse:Weekly Torah Portion - פרשהEndow a Torah portion of significance to you and/or loved ones$1000Specify Portion:Total$0.00PaymentCredit Card Paypal Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2022202320242025202620272028202920302031Expiration YearPaypal has been selected. Payment will take place on the next page.Billing AddressStreet AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountrySubmitShould be Empty: This page uses TLS encryption to keep your data secure.