KNOW that I, the undersigned, fully empower and permit Rabbi Yisroel Goldstein to act in my place and stead, and in my behalf to sell all chometz possessed by me (knowingly or unknowingly) as defined by the Torah and Rabbinic Law (e.g., chometz, possible chometz and all kinds of chometz mixtures). Also chometz that tends to harden and adhere to inside surfaces of pans, pots or cooking and usable utensils,  and all kinds of live animals that have been eating chometz or mixtures thereof. And to lease all places wherein the chometz owned by me may be found, especially in the premises located at my residence(s) and elsewhere.

Rabbi Yisroel Goldstein has the full right to sell and to lease by transactions, as he deems fit and proper and for such time which he believes necessary in accordance with all detailed terms and detailed contract which have been given this year to Rabbi Goldstein to sell the chometz.

This general authorization is made a part of this agreement. Also I do hereby give the said Rabbi full power and authority to appoint a substitute in his stead with full power to sell and to lease as provided herein. The above given power is in conformity with all Torah, Rabbinical regulations and laws, and also in accordance with the laws of the State of California of the United States. To this I hereby affix my signature on the day 

 ( click here for Calendar)of Nissan in the year 5776.

 Signature (for print only)_____________________________

Name (Please Print)


City  State Zip Code  

More info: Use this field to let us know if you have an office or another location you wish to add to this sale.

If you cannot or do not wish to fill out this online form, you may print it and return to:                     Chabad of Poway
                                                 16934 Chabad Way
                                                 Poway, CA 92064
                                                 Fax # 858-673-0299
                                                 Phone # 858-451-0455
      Or email [email protected] 
      Or click reply to this e-mail

  Please consider supporting the work of Chabad of Poway:

Yes, I want to help support the work of Chabad of Poway. 
I want to make a contribution of:
Other $  

 Please list the names of participants


Payment Information 



For our secure Chabad account:
Visa  Master Card   Discover AMEX

Credit Card Number 
Exp Date
Security code (last 3 digits on the signuture panel)

Please charge my card $
 Please continue to charge this amount every month.

Name on credit card:  

Billing Address: 

Telephone Number: