(For anyone who cannot come to the Rabbi’s office in person)

I hereby authorize Rabbi Mordecai Miller to be my agent to sell all of my chametz, and to rent the rooms and places where the chametz is to be stored, to a non-Jew.

The chametz is located at  (write your address here): ________________

specifically in , _____________

and has been so placed that my household will not touch it.

I understand that the sale is to be final and unconditional.

The Rabbi may arrange for resale of the chametz to me after the Pesach festival.

Signed:

Date:

(NOTE: ALL PROCEEDS TO GO TO THE BSKI RABBI’S DI5CRETIONARY FUND.” Please make out check accordingly.)

This is a tax-deductible contribution.

Print this page and fax it to (314) 725-6256