Contact Information
Title
- Select title -
Mr.
Mrs.
Ms.
Dr.
Mr. & Mrs.
Dr. & Mrs.
Rabbi
Rabbi & Mrs.
First Name
Last Name
Address
City
State
Zip
Phone
Email
Guest Reservation
List the Names for Kaparot
For each person, write: their Hebrew name, Ben (son of) or Bat (daughter of), and the mother's Hebrew name. Example: Yosef Ben Sarah
*If you choose to pay by check, please kindly mail it to: 9461 Charleville Boulevard Suite 300 Beverly Hills, California 90212. If you choose to pay via Zelle, PayPal, Venmo, or any other payment method available through our donation page, please indicate in the notes or memo that your payment is for the Kapparot.
Payment Method
Credit Card Information
Type
Visa
MC
Amex
Discover
Number
Expiration
/
Code
Use contact info above
Name
Address
Zip
Reset
Submit
This site is protected by reCAPTCHA and the Google
Privacy Policy
and
Terms of Service
apply.
This page uses SSL encryption to keep your data secure.