I hereby empower and authorize Rabbi Andrew Rosenblatt or Rabbi Ishai Gottlieb to sell all Chametz (including possible Chametz mixtures and any Chametz adherent to the surfaces of pots, pans or other cooking utensils)  that may be in my possession, wherever it may be - at home, business or elsewhere. This includes all goods which may be delivered to me over Passover. The rabbinic staff has full rights to sell, dispose, and conduct all transactions, including rental of the store where the Chametz is stored and rental of right of way as they deem fit and proper, for such time which they believe necessary in accordance with detailed terms and forms explained in the contracts in their possession. The above power here by being given, is meant to conform with all Torah and Rabbinic regulations and laws, and also in accordance with the laws of the British Columbia.

Home - please provide complete address including apartment # if appropriate.

i.e. office, dorm, or vacation home... - please provide complete address full street address plus city, state and zipcode.

THE EFFECTIVENESS OF THE SALE DEPENDS ON THE CHAMETZ BEING ACCESSIBLE TO THE NON-JEWISH PARTY TO WHOM IT IS SOLD.PLEASE CLEARLY INDICATE HOW THE CHAMETZ CAN BE ACCESSED FOR ALL OF PESACH. ACCESS TO CHAMETZ (INCLUDING TIMES WHEN I AM NOT AT HOME) CAN BE ARRANGED BY CONTACTING (if you are home for all of Pesach, put your contact information here, otherwise put a contact who can access your home):

There is no charge for the service of acting as your agent for the Sale of Chametz. Many have the custom to make their gift for Maot Chittim to fulfill two mitzvot at the same time. All funds collected with this form are used to provide matzah and other Passover foods and services to those in need. Your generosity is greatly appreciated. (filling in the amount of your donation will take you to our credit card form after you submit this form).