Please read the statement below and fill in your name and address. The Rabbi (or his agent) will sell your chametz at the appropriate time. If you’d like to make a donation, you can do so below as well.

Delegation of Power to Sell ChametzI hereby empower and authorize Rabbi Benjamin Goldstein or his agent to act on my behalf to sell all chametz of whatever kind and nature possessed by me, knowingly or unknowingly, wherever it may be (home, place of business, or elsewhere). Rabbi Goldstein has full right to sell, dispose, conduct all transactions as deemed fit and proper and for such time that is believed necessary, in accordance with the detailed terms and detailed forms explained in the Jewish contracts in his possession, and to lease all places where this chametz may be found. The power hereby given is meant to conform to all Torah and Rabbinic regulations to meet the requirements of Jewish law and civil law and will be in effect for all of Pesach, which begins this year with sundown on Friday, April 3, 2015, and runs through Saturday, April 11, 2015 at 8:15 p.m. To the above I agree without qualification or reservation.