Order Form First Name E-Mail Last Name Phone Home Address City, State, Zip 1 2 3 4 5 6 7 8 9 10 Large Challah..............$12 1 2 3 4 5 6 7 8 9 10 Small Challah........$6 1 2 3 4 5 6 7 8 9 10 Sponsor a Home-bound Senior.........$18 1 2 3 4 5 6 7 8 9 10 Week Sponsor...........$180 Payment: Cash at pickup or PayPal to [email protected] This page uses 128 bit SSL encryption to keep your data secure.