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Mezuzah
Contact Information
Name
First Name
Last Name
NU ID #
Email
Dorm Address
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Amount
*
$18
-
Deposit for a Mezuzah
$36
-
Deposit + donation to support the Mezuzah program
$48
-
Deposit + double chai donation to support the Mezuzah program
$
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