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			<h1 class="article-header__title js-article-title js-page-title">Sell Your Chametz</h1>
		
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window.formJson = Object.extend([{"form_height":531,"1_text":"\u003cp\u003eSince it is prohibited to possess Chametz on Pesach, any Chametz not to be disposed of must be sold to a non-Jew. (Any chametz remaining in the possession of a Jew during Pesach may not be used, eaten, bought or sold even after Pesach).\u003c/p\u003e\n\n\u003cp\u003eTherefore, all Chametz that will not be eaten or burned before Pesach and all Chametz utensils should be stored away. The storage area should be locked or taped shut to be leased to the non-Jew at the time of the Chametz sale.\u003c/p\u003e\n\n\u003cp\u003eSince there are many legal intricacies in this sale, only a competent rabbi should be entrusted with its execution. The rabbi acts as our agent both to sell the Chametz to the non-Jew on the morning before Pesach starts and also to buy it back the evening after Pesach ends.\u003c/p\u003e\n\n\u003cp\u003eIf you have any questions or concerns, please contact Rabbi Schapiro, on 0425214522 or email \u003ca href=\"mailto:rabbi@chabadhouse.org.au\"\u003erabbi@chabadhouse.org.au\u003c/a\u003e.\u003c/p\u003e\n","1_name":"doubleclickTo","1_qid":1,"1_type":"control_text","1_order":1,"4_text":"\u003cp style=\"text-align: center;\"\u003e\u003cspan style=\"font-size: 22px; font-family: Muli, sans-serif;\"\u003e\u003cstrong\u003eDELEGATION OF POWER FOR SALE OF CHAMETZ\u003c/strong\u003e\u003c/span\u003e\u003c/p\u003e\n\n\u003cp style=\"text-align: center;\"\u003e\u003cspan style=\"font-family: Muli, sans-serif; font-size: 16px;\"\u003e\u003cstrong\u003eThe following form, appointing Rabbi Nochum Schapiro as your agent,\u0026nbsp;must be submitted by Tuesday, 31 March 2026 LATEST!\u003c/strong\u003e\u003c/span\u003e\u003c/p\u003e\n","4_name":"doubleclickTo4","4_qid":4,"4_type":"control_text","4_order":2,"15_text":"\u003cp\u003eI the undersigned, fully empower and permit Rabbi Nochum Schapiro to act in my place and stead, and on my behalf to sell all chametz possessed by me, knowingly or unknowingly as defined by the Torah and Rabbinic Law (e.g. chametz, possible chametz, and all kinds of chametz mixtures). Also, chametz that tends to harden and adhere to inside surfaces of pans, pots, or cooking utensils, the utensils themselves, and all kinds of live animals and pets that have been eating chametz and mixtures thereof. Rabbi Nochum Schapiro is also empowered to lease all places wherein the chametz owned by me may be found, particularly at the address/es listed below, and elsewhere. Rabbi Nochum Schapiro has full right to appoint an agent or substitute in his stead and said substitute shall have full right to sell and lease as provided herein. Rabbi Nochum Schapiro also has the full power and right to act as he deems fit and proper in accordance with all the details of the Bill of Sale used in the transaction to sell all my chametz, chametz mixtures, etc., as provided herein. 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According to some opinions, this strengthens the rabbi\u0026rsquo;s power of agency. If you would like to make a donation, please fill-in the details below.\u003c/span\u003e\u003c/p\u003e","12_name":"doubleclickTo12","12_qid":12,"12_type":"control_text","12_order":9,"17_text":"Donation Amount","17_message":"(Optional)","17_labelAlign":"Auto","17_required":"No","17_options":"180","17_special":"None","17_allowOther":"Yes","17_otherText":"Other","17_selected":"","17_spreadCols":"3","17_description":"","17_mode":"radio_buttons","17_name":"input17","17_qid":17,"17_type":"control_amount","17_order":10,"16_text":"Payment","16_message":"","16_labelAlign":"Auto","16_required":"No","16_duplicatable":false,"16_selectedCountry":"","16_description":"","16_sublabels":{"cc_firstName":"First Name","cc_lastName":"Last Name","cc_type":"Credit Card Type","cc_number":"Credit Card Number","cc_ccv":"Security Code","cc_nameOnCard":"Name on Card","cc_IdNumber":"Israel Identity Number","cc_exp_month":"Expiration Month","cc_exp_year":"Expiration Year","eCheck_bankName":"Bank Name","eCheck_routingNumber":"Routing Number","eCheck_accountNumber":"Account Number","eCheck_accountType":"Account Type","addr_line1":"Street Address","addr_line2":"Street Address Line 2","city":"City","state":"State / Province","postal":"Postal / Zip Code","country":"Country"},"16_name":"payment","16_qid":16,"16_type":"control_payform","16_order":11,"16_options":{"currency":"4425|$|AUD","creditCard":{"value":"Credit Card","enabled":true,"fields":[{"name":"ccv","value":"CCV","enabled":true},{"name":"nameOnCard","value":"Name on Card","enabled":true},{"name":"billingAddress","value":"Billing Address","enabled":false},{"name":"israelIdentityNumber","value":"Israel Identity Number","enabled":true}],"processorIndex":1,"type":[{"name":"Visa","value":"Visa","enabled":true},{"name":"Mastercard","value":"MasterCard","enabled":true},{"name":"Amex","value":"American Express","enabled":true},{"name":"Discover","value":"Discover","enabled":false},{"name":"Isracard","value":"Isracard","enabled":false}],"payMe":false},"paypal":{"value":"Paypal","enabled":true,"processorIndex":0},"eCheck":{"value":"eCheck","enabled":false},"other":{"value":"Other","enabled":false,"altText":"","message":""}},"2_text":"Submit","2_buttonAlign":"Auto","2_clear":"No","2_print":"Yes","2_name":"submit","2_qid":2,"2_type":"control_button","2_order":12,"form_title":"Click to edit this text...","form_pagetitle":"Form","form_styles":"nova","form_font":"","form_fontsize":"14","form_fontcolor":"","form_optioncolor":"","form_lineSpacing":"12","form_background":"","form_formWidth":"765","form_labelWidth":"150","form_alignment":"Left","form_thankurl":"","form_thanktext":"","form_highlightLine":"Enabled","form_activeRedirect":"default","form_sendpostdata":"No","form_unique":"None","form_uniqueField":"\u003cField Id\u003e","form_status":"Enabled","form_injectCSS":"","form_hideMailEmptyFields":"disable","form_showProgressBar":"disable","form_formStrings":[{"alphabetic":"This field can only contain letters","alphanumeric":"This field can only contain letters and numbers.","confirmClearForm":"Are you sure you want to clear the form?","confirmEmail":"E-mail does not match","email":"Enter a valid e-mail address","generalError":"There are errors on the form. 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<form class="userform-form" action="" method="post" name="form_4675181" id="4675181" accept-charset="utf-8"><input type="hidden" name="formID" value="4675181" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_1"><div id="cid_1" class="form-input-wide"> <div id="text_1" class="form-html"><p>Since it is prohibited to possess Chametz on Pesach, any Chametz not to be disposed of must be sold to a non-Jew. (Any chametz remaining in the possession of a Jew during Pesach may not be used, eaten, bought or sold even after Pesach).</p>

<p>Therefore, all Chametz that will not be eaten or burned before Pesach and all Chametz utensils should be stored away. The storage area should be locked or taped shut to be leased to the non-Jew at the time of the Chametz sale.</p>

<p>Since there are many legal intricacies in this sale, only a competent rabbi should be entrusted with its execution. The rabbi acts as our agent both to sell the Chametz to the non-Jew on the morning before Pesach starts and also to buy it back the evening after Pesach ends.</p>

<p>If you have any questions or concerns, please contact Rabbi Schapiro, on 0425214522 or email <a href="mailto:rabbi@chabadhouse.org.au">rabbi@chabadhouse.org.au</a>.</p>
</div> </div></li><li class="form-line" id="id_4"><div id="cid_4" class="form-input-wide"> <div id="text_4" class="form-html"><p style="text-align: center;"><span style="font-size: 22px; font-family: Muli, sans-serif;"><strong>DELEGATION OF POWER FOR SALE OF CHAMETZ</strong></span></p>

<p style="text-align: center;"><span style="font-family: Muli, sans-serif; font-size: 16px;"><strong>The following form, appointing Rabbi Nochum Schapiro as your agent, must be submitted by Tuesday, 31 March 2026 LATEST!</strong></span></p>
</div> </div></li><li class="form-line" id="id_15"><div id="cid_15" class="form-input-wide"> <div id="text_15" class="form-html"><p>I the undersigned, fully empower and permit Rabbi Nochum Schapiro to act in my place and stead, and on my behalf to sell all chametz possessed by me, knowingly or unknowingly as defined by the Torah and Rabbinic Law (e.g. chametz, possible chametz, and all kinds of chametz mixtures). Also, chametz that tends to harden and adhere to inside surfaces of pans, pots, or cooking utensils, the utensils themselves, and all kinds of live animals and pets that have been eating chametz and mixtures thereof. Rabbi Nochum Schapiro is also empowered to lease all places wherein the chametz owned by me may be found, particularly at the address/es listed below, and elsewhere. Rabbi Nochum Schapiro has full right to appoint an agent or substitute in his stead and said substitute shall have full right to sell and lease as provided herein. Rabbi Nochum Schapiro also has the full power and right to act as he deems fit and proper in accordance with all the details of the Bill of Sale used in the transaction to sell all my chametz, chametz mixtures, etc., as provided herein. This power is in conformity with all Torah, Rabbinic and Civil laws.</p>
</div> </div></li><li class="form-line" id="id_5"><div class="form-label-left" id="label_5"><label for="input_5"> Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_5"> </label></div><div id="cid_5" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q5_fullName[first]" id="first_5" autocomplete="given-name" />  <label class="form-sub-label" for="first_5" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q5_fullName[last]" id="last_5" autocomplete="family-name" />  <label class="form-sub-label" for="last_5" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_6"><div class="form-label-left" id="label_6"><label for="input_6"> E-mail<span class="form-required">*</span> </label><label class="label-message" for="input_6"> </label></div><div id="cid_6" class="form-input"> <input type="email" class=" form-textbox validate[required, Email]" id="input_6" name="q6_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_8"><div class="form-label-left" id="label_8"><label for="input_8"> Address location of Chametz<span class="form-required">*</span> </label><label class="label-message" for="input_8"> </label></div><div id="cid_8" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-line" type="text" name="q8_address[addr_line1]" id="input_8_addr_line1" size="46" autocomplete="address-line1" />  <label class="form-sub-label" for="input_8_addr_line1" id="sublabel_8_addr_line1">Street Address</label></span></td></tr><tr><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line no-validation" type="text" name="q8_address[addr_line2]" id="input_8_addr_line2" size="46" autocomplete="address-line2" />  <label class="form-sub-label" for="input_8_addr_line2" id="sublabel_8_addr_line2">Street Address Line 2</label></span></td></tr><tr><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-city" type="text" name="q8_address[city]" id="input_8_city" size="21" autocomplete="address-level2" />  <label class="form-sub-label" for="input_8_city" id="sublabel_8_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-state" type="text" name="q8_address[state]" id="input_8_state" size="22" autocomplete="address-level1" />  <label class="form-sub-label" for="input_8_state" id="sublabel_8_state">State</label></span></td></tr><tr><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-postal" type="text" name="q8_address[postal]" id="input_8_postal" size="10" autocomplete="postal-code" />  <label class="form-sub-label" for="input_8_postal" id="sublabel_8_postal">Post Code</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown validate[required] form-address-country" name="q8_address[country]" id="input_8_country" autocomplete="country-name"><option value="" selected="selected">Please Select</option><option value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option selected="selected" value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="The Bahamas">The Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option 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value="Japan">Japan</option><option value="Jersey">Jersey</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="North Korea">North Korea</option><option value="South Korea">South Korea</option><option value="Kosovo">Kosovo</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macau">Macau</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option 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Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Mariana">Northern Mariana</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Pitcairn Islands">Pitcairn Islands</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Romania">Romania</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saint Barthelemy">Saint Barthelemy</option><option value="Saint Helena">Saint Helena</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucia</option><option value="Saint Martin">Saint Martin</option><option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option><option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="Somaliland">Somaliland</option><option value="South Africa">South Africa</option><option value="South Ossetia">South Ossetia</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Svalbard">Svalbard</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syria">Syria</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Timor-Leste">Timor-Leste</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tristan da Cunha">Tristan da Cunha</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City">Vatican City</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="British Virgin Islands">British Virgin Islands</option><option value="US Virgin Islands">US Virgin Islands</option><option value="Wallis and Futuna">Wallis and Futuna</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option><option value="other">Other</option></select>  <label class="form-sub-label" for="input_8_country" id="sublabel_8_country">Country</label></span></td></tr></tbody></table> </div></li><li class="form-line" id="id_11"><div class="form-label-left" id="label_11"><label for="input_11"> Any other address where Chametz may be located. </label><label class="label-message" for="input_11"> </label></div><div id="cid_11" class="form-input"> <textarea id="input_11" class="form-textarea" name="q11_input11" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_18"><div class="form-label-left" id="label_18"><label for="input_18"> Phone Number </label><label class="label-message" for="input_18"> </label></div><div id="cid_18" class="form-input"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_18" name="q18_input18" size="20" value="" /> </div></li><li class="form-line" id="id_12"><div id="cid_12" class="form-input-wide"> <div id="text_12" class="form-html"><p><span style="font-family: Muli, sans-serif;">While there is no charge for this service, many have the custom to make a donation to the rabbi for facilitating the sale. According to some opinions, this strengthens the rabbi’s power of agency. If you would like to make a donation, please fill-in the details below.</span></p></div> </div></li><li class="form-line" id="id_17"><div class="form-label-left" id="label_17"><label for="input_17"> Donation Amount </label><label class="label-message" for="input_17"> (Optional)</label></div><div id="cid_17" class="form-input"> <div class="form-multiple-column" data-columns="3"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_17_0" name="q17_input17" value="180" /><label for="input_17_0"><span>$180 AUD</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio-other form-radio" name="q17_input17" id="other_17" value="" /><span><input type="number" min="1" class="form-radio-other-input form-textbox" onkeypress="validateNumber(event)" name="q17_input17[other]" data-otherhint="Other" size="15" id="input_17" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_16"><div class="form-label-left" id="label_16"><label for="input_16"> Payment </label><label class="label-message" for="input_16"> </label></div><div id="cid_16" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_16_creditCard" name="q16_payment[payment_method]" value="creditCard" onclick="BuildSource.creditCard(this)" /><label for="input_16_creditCard">Credit Card</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_16_paypal" name="q16_payment[payment_method]" value="paypal" onclick="BuildSource.paypal(this)" /><label for="input_16_paypal">Paypal</label> </span></td></tr><tr class="credit_card hide"><th colspan="2">Credit Card</th></tr><tr class="credit_card hide"><td colspan="2" style="padding:0"><table cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container">  <label class="form-sub-label">We accept Visa, MasterCard, American Express</label></span><div class="cc-icons"><div class="cc-icon visa-icon"></div><div class="cc-icon mastercard-icon"></div><div class="cc-icon amex-icon"></div></div><input type="hidden" name="q16_payment[cc_type]" id="input_16_cc_type" value="" /></td></tr><tr><td><div class="cc-field-wrapper"><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[visible, creditcard]" type="text" name="q16_payment[cc_number]" id="input_16_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_16_cc_number" id="sublabel_cc_number">Credit Card Number</label></span></div></td><td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q16_payment[cc_ccv]" id="input_16_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_16_cc_ccv" id="sublabel_cc_ccv">Security Code</label></span></td></tr><tr><td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q16_payment[cc_nameOnCard]" id="input_16_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_16_cc_nameOnCard" id="sublabel_cc_nameOnCard">Name on Card</label></span></td></tr><tr class="credit_card hide"><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q16_payment[cc_exp_month]" id="input_16_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_16_cc_exp_month" id="sublabel_cc_exp_month">Expiration Month</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q16_payment[cc_exp_year]" id="input_16_cc_exp_year" autocomplete="cc-exp-year"><option></option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option><option value="2034">2034</option><option value="2035">2035</option></select>  <label class="form-sub-label" for="input_16_cc_exp_year" id="sublabel_cc_exp_year">Expiration Year</label></span></td></tr></tbody></table></td></tr><tr class="paypal hide"><td colspan="2">Paypal has been selected. Payment will take place on the next page.</td></tr></tbody></table> </div></li><li class="form-line" id="id_2"><div id="cid_2" class="form-input-wide"> <div style="text-align: center; text-indent:156px;" class="form-buttons-wrapper button-align-auto"><button id="input_2" type="submit" class="form-submit-button  form-submit-button-none;">Submit</button>   <button id="input_print_2" style="margin-left:25px;" class="form-submit-print form-submit-button-none;" type="button"><img src="https://w2.chabad.org/images/sitecontrol/formbuilder/printer.png" align="absmiddle" />  Print Form</button></div> </div></li><li style="display:none">Should be Empty: <input type="text" name="website" value="" /></li></ul></div><input type="hidden" id="simple_spc" name="simple_spc" value="4675181" /><script type="text/javascript">document.getElementById("si"+"mple"+"_spc").value = "4675181-4675181";</script><div>


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