Printed from ChabadWestside.org

Pushka Pick Up Form

Pushka Pick Up Form

 Email

snipped teal.JPG
PICKUP FORM

First Name
Last Name
Email Address 
Home Address  

Please write the date and time that you would like your Pushka picked up:

Please pick up my Tzedaka box from my home
Please pick up my Tzedaka box from my doorman 
Please call/text me before you come. My number is:

You will receive a brand new tzedakah box upon pickup of your full one.
Thank you! 



 


 

 



 

 

 

 

 Email