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			<h1 class="article-header__title js-article-title js-page-title">Dedications</h1>
		
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              All donors making dedications will receive a beautiful certificate with details of their letter/word/parsha etc. in appreciation of their gift.
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          <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_3_0" name="q3_input3[]" value="Keter (Crown) - $7,200" />
              <label id="label_input_3_0" for="input_3_0"><span>Keter (Crown) - $7,200</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_3_1" name="q3_input3[]" value="Breastplate - $5,000" />
              <label id="label_input_3_1" for="input_3_1"><span>Breastplate - $5,000</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_3_2" name="q3_input3[]" value="Eitz Chaim (Torah Handles) - $3,600" />
              <label id="label_input_3_2" for="input_3_2"><span>Eitz Chaim (Torah Handles) - $3,600</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_3_3" name="q3_input3[]" value="Books of Torah - $3,600" />
              <label id="label_input_3_3" for="input_3_3"><span>Books of Torah - $3,600</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_3_4" name="q3_input3[]" value="Yad (Silver Pointer) - $1,800" />
              <label id="label_input_3_4" for="input_3_4"><span>Yad (Silver Pointer) - $1,800</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_3_5" name="q3_input3[]" value="Special Selections - $1,800" />
              <label id="label_input_3_5" for="input_3_5"><span>Special Selections - $1,800</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_3_6" name="q3_input3[]" value="Torah Portion - $1,000" />
              <label id="label_input_3_6" for="input_3_6"><span>Torah Portion - $1,000</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_3_7" name="q3_input3[]" value="Aliyah - $540" />
              <label id="label_input_3_7" for="input_3_7"><span>Aliyah - $540</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_3_8" name="q3_input3[]" value="Verse - $360" />
              <label id="label_input_3_8" for="input_3_8"><span>Verse - $360</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_3_9" name="q3_input3[]" value="Word - $180" />
              <label id="label_input_3_9" for="input_3_9"><span>Word - $180</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_3_10" name="q3_input3[]" value="Letter - $36" />
              <label id="label_input_3_10" for="input_3_10"><span>Letter - $36</span>
              </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_4">
        <div class="form-label-top" id="label_4">
          <label for="input_4"> Special Selection </label>
          <label class="label-message" for="input_4">  </label>
        </div>
        <div id="cid_4" class="form-input-wide">
          <select class="form-dropdown" style="width:150px" id="input_4" name="q4_input4">
            <option value="">  </option>
            <option value="Az Yashir - Song at the splitting of the Red Sea"> Az Yashir - Song at the splitting of the Red Sea </option>
            <option value="The Ten Commandments"> The Ten Commandments </option>
            <option value="Hashem Hashem - G‑d’s attributes of mercy"> Hashem Hashem - G‑d’s attributes of mercy </option>
            <option value="Bircat Kohanim - Priestly blessings"> Bircat Kohanim - Priestly blessings </option>
            <option value="Chazak Bereishit Conclusion"> Chazak Bereishit Conclusion </option>
            <option value="Chazak Shemot Conclusion"> Chazak Shemot Conclusion </option>
            <option value="Chazak Vayikra Conclusion"> Chazak Vayikra Conclusion </option>
            <option value="Chazak Bamidbar Conclusion"> Chazak Bamidbar Conclusion </option>
            <option value="Chazak Devarim Conclusion"> Chazak Devarim Conclusion </option>
          </select>
        </div>
      </li>
      <li class="form-line" id="id_12">
        <div class="form-label-top" id="label_12">
          <label for="input_12">
            Number of Letters<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_12"> $36 per letter </label>
        </div>
        <div id="cid_12" class="form-input-wide">
          <input type="number" class="form-number-input  form-textbox validate[required]" id="input_12" name="q12_number" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />
        </div>
      </li>
      <li class="form-line" id="id_13">
        <div class="form-label-top" id="label_13">
          <label for="input_13"> Special Initiative </label>
          <label class="label-message" for="input_13"> To enable every individual to participate in this great Mitzvah, and to include as many people as possible in this CommUnity Torah, including loved ones who have passed away. Invite family and friends within our community &amp; from around the world to join. </label>
        </div>
        <div id="cid_13" class="form-input-wide">
          <input type="number" class="form-number-input  form-textbox" id="input_13" name="q13_number13" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />
        </div>
      </li>
      <li class="form-line" id="id_5">
        <div class="form-label-top" id="label_5">
          <label for="input_5"> Other Participation Amount </label>
          <label class="label-message" for="input_5">  </label>
        </div>
        <div id="cid_5" class="form-input-wide">
          <div class="form-single-column"><span class="form-radio-item simple-mode"><label id="label_input_5" for="input_5"><span>$</span>
              </label>
              <input type="text" class="form-textbox" id="input_5" name="q5_input5" value="" onkeypress="validateNumber(event)" /></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_6">
        <div class="form-label-top" id="label_6">
          <label for="input_6"> Dedication Names </label>
          <label class="label-message" for="input_6"> Enter the names your above participation in the Torah is in honor or memory of: </label>
        </div>
        <div id="cid_6" class="form-input-wide">
          <textarea id="input_6" class="form-textarea" name="q6_input6" cols="40" rows="6"></textarea>
        </div>
      </li>
      <li class="form-line" id="id_7">
        <div class="form-label-top" id="label_7">
          <label for="input_7">
            Full Name<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_7">  </label>
        </div>
        <div id="cid_7" class="form-input-wide"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q7_fullName[first]" id="first_7" />
            <label class="form-sub-label" for="first_7" id="sublabel_first"> First Name </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q7_fullName[last]" id="last_7" />
            <label class="form-sub-label" for="last_7" id="sublabel_last"> Last Name </label></span>
        </div>
      </li>
      <li class="form-line" id="id_8">
        <div class="form-label-top" id="label_8">
          <label for="input_8">
            Email<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_8">  </label>
        </div>
        <div id="cid_8" class="form-input-wide">
          <input type="email" class=" form-textbox validate[required, Email]" id="input_8" name="q8_email" size="30" value="" />
        </div>
      </li>
      <li class="form-line" id="id_10">
        <div class="form-label-top" id="label_10">
          <label for="input_10"> Total </label>
        </div>
        <div id="cid_10" class="form-input-wide">
          <div id="total_amount">
            $0.00
          </div>
        </div>
      </li>
      <li class="form-line" id="id_11">
        <div class="form-label-top" id="label_11">
          <label for="input_11"> Payment </label>
          <label class="label-message" for="input_11">  </label>
        </div>
        <div id="cid_11" class="form-input-wide">
          <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_11_creditCard" name="q11_payment[payment_method]" value="creditCard" onclick="BuildSource.creditCard(this)" />
                  <label for="input_11_creditCard"> Credit Card </label>
                   </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_11_paypal" name="q11_payment[payment_method]" value="paypal" onclick="BuildSource.paypal(this)" />
                  <label for="input_11_paypal"> Paypal </label>
                   </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_11_other" name="q11_payment[payment_method]" value="other" onclick="BuildSource.other(this)" />
                  <label for="input_11_other"> Check </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"><select class="form-textbox validate[visible]" name="q11_payment[cc_type]" id="input_11_cc_type">
                          <option value="Visa"> Visa </option>
                          <option value="Mastercard"> MasterCard </option>
                          <option value="Amex"> American Express </option>
                          <option value="Discover"> Discover </option>
                        </select>
                        <label class="form-sub-label" for="input_11_cc_type" id="sublabel_cc_type"> Credit Card Type </label></span>
                    </td>
                  </tr>
                  <tr>
                    <td><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[visible, creditcard]" type="text" name="q11_payment[cc_number]" id="input_11_cc_number" size="20" autocomplete="off" />
                        <label class="form-sub-label" for="input_11_cc_number" id="sublabel_cc_number"> Credit Card Number </label></span>
                    </td>
                    <td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q11_payment[cc_ccv]" id="input_11_cc_ccv" size="6" autocomplete="off" />
                        <label class="form-sub-label" for="input_11_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="q11_payment[cc_nameOnCard]" id="input_11_cc_nameOnCard" size="33" autocomplete="off" />
                        <label class="form-sub-label" for="input_11_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="q11_payment[cc_exp_month]" id="input_11_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_11_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="q11_payment[cc_exp_year]" id="input_11_cc_exp_year">
                          <option>  </option>
                          <option value="2021"> 2021 </option>
                          <option value="2022"> 2022 </option>
                          <option value="2023"> 2023 </option>
                          <option value="2024"> 2024 </option>
                          <option value="2025"> 2025 </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>
                        </select>
                        <label class="form-sub-label" for="input_11_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>
            <tr class="other hide">
              <td colspan="2">
                Please send check to:
                <br />
                Chabad of Islip
                <br />
                49 Union Ave
                <br />
                Islip, NY 11751
              </td>
            </tr>
            <tr class="billing_address hide">
              <th colspan="2">
                Billing Address
              </th>
            </tr>
            <tr class="billing_address hide">
              <td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line" type="text" name="q11_payment[addr_line1]" id="input_11_addr_line1" />
                  <label class="form-sub-label" for="input_11_addr_line1" id="sublabel_11_addr_line1"> Street Address </label></span>
              </td>
            </tr>
            <tr class="billing_address hide">
              <td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line no-validation" type="text" name="q11_payment[addr_line2]" id="input_11_addr_line2" size="46" />
                  <label class="form-sub-label" for="input_11_addr_line2" id="sublabel_11_addr_line2"> Street Address Line 2 </label></span>
              </td>
            </tr>
            <tr class="billing_address hide">
              <td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-city" type="text" name="q11_payment[city]" id="input_11_city" />
                  <label class="form-sub-label" for="input_11_city" id="sublabel_11_city"> City </label></span>
              </td>
              <td><span class="form-sub-label-container"><input class="form-textbox form-address-state" type="text" name="q11_payment[state]" id="input_11_state" />
                  <label class="form-sub-label" for="input_11_state" id="sublabel_11_state"> State / Province </label></span>
              </td>
            </tr>
            <tr class="billing_address hide">
              <td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-postal" type="text" name="q11_payment[postal]" id="input_11_postal" size="10" />
                  <label class="form-sub-label" for="input_11_postal" id="sublabel_11_postal"> Postal / Zip Code </label></span>
              </td>
              <td><span class="form-sub-label-container"><select class="form-dropdown form-address-country" name="q11_payment[country]" id="input_11_country">
                    <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 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 value="Cameroon"> Cameroon </option>
                    <option value="Canada"> Canada </option>
                    <option value="Cape Verde"> Cape Verde </option>
                    <option value="Cayman Islands"> Cayman Islands </option>
                    <option value="Central African Republic"> Central African Republic </option>
                    <option value="Chad"> Chad </option>
                    <option value="Chile"> Chile </option>
                    <option value="People's Republic of China"> People's Republic of China </option>
                    <option value="Republic of China"> Republic of China </option>
                    <option value="Christmas Island"> Christmas Island </option>
                    <option value="Cocos (Keeling) Islands"> Cocos (Keeling) Islands </option>
                    <option value="Colombia"> Colombia </option>
                    <option value="Comoros"> Comoros </option>
                    <option value="Congo"> Congo </option>
                    <option value="Cook Islands"> Cook Islands </option>
                    <option value="Costa Rica"> Costa Rica </option>
                    <option value="Cote d'Ivoire"> Cote d'Ivoire </option>
                    <option value="Croatia"> Croatia </option>
                    <option value="Cuba"> Cuba </option>
                    <option value="Cyprus"> Cyprus </option>
                    <option value="Czech Republic"> Czech Republic </option>
                    <option value="Denmark"> Denmark </option>
                    <option value="Djibouti"> Djibouti </option>
                    <option value="Dominica"> Dominica </option>
                    <option value="Dominican Republic"> Dominican Republic </option>
                    <option value="Ecuador"> Ecuador </option>
                    <option value="Egypt"> Egypt </option>
                    <option value="El Salvador"> El Salvador </option>
                    <option value="Equatorial Guinea"> Equatorial Guinea </option>
                    <option value="Eritrea"> Eritrea </option>
                    <option value="Estonia"> Estonia </option>
                    <option value="Eswatini"> Eswatini </option>
                    <option value="Ethiopia"> Ethiopia </option>
                    <option value="Falkland Islands"> Falkland Islands </option>
                    <option value="Faroe Islands"> Faroe Islands </option>
                    <option value="Fiji"> Fiji </option>
                    <option value="Finland"> Finland </option>
                    <option value="France"> France </option>
                    <option value="French Polynesia"> French Polynesia </option>
                    <option value="Gabon"> Gabon </option>
                    <option value="The Gambia"> The Gambia </option>
                    <option value="Georgia"> Georgia </option>
                    <option value="Germany"> Germany </option>
                    <option value="Ghana"> Ghana </option>
                    <option value="Gibraltar"> Gibraltar </option>
                    <option value="Greece"> Greece </option>
                    <option value="Greenland"> Greenland </option>
                    <option value="Grenada"> Grenada </option>
                    <option value="Guadeloupe"> Guadeloupe </option>
                    <option value="Guam"> Guam </option>
                    <option value="Guatemala"> Guatemala </option>
                    <option value="Guernsey"> Guernsey </option>
                    <option value="Guinea"> Guinea </option>
                    <option value="Guinea-Bissau"> Guinea-Bissau </option>
                    <option value="Guyana"> Guyana </option>
                    <option value="Haiti"> Haiti </option>
                    <option value="Honduras"> Honduras </option>
                    <option value="Hong Kong"> Hong Kong </option>
                    <option value="Hungary"> Hungary </option>
                    <option value="Iceland"> Iceland </option>
                    <option value="India"> India </option>
                    <option value="Indonesia"> Indonesia </option>
                    <option value="Iran"> Iran </option>
                    <option value="Iraq"> Iraq </option>
                    <option value="Ireland"> Ireland </option>
                    <option value="Israel"> Israel </option>
                    <option value="Italy"> Italy </option>
                    <option value="Jamaica"> Jamaica </option>
                    <option 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 value="Malaysia"> Malaysia </option>
                    <option value="Maldives"> Maldives </option>
                    <option value="Mali"> Mali </option>
                    <option value="Malta"> Malta </option>
                    <option value="Marshall Islands"> Marshall Islands </option>
                    <option value="Martinique"> Martinique </option>
                    <option value="Mauritania"> Mauritania </option>
                    <option value="Mauritius"> Mauritius </option>
                    <option value="Mayotte"> Mayotte </option>
                    <option value="Mexico"> Mexico </option>
                    <option value="Micronesia"> Micronesia </option>
                    <option value="Moldova"> Moldova </option>
                    <option value="Monaco"> Monaco </option>
                    <option value="Mongolia"> Mongolia </option>
                    <option value="Montenegro"> Montenegro </option>
                    <option value="Montserrat"> Montserrat </option>
                    <option value="Morocco"> Morocco </option>
                    <option value="Mozambique"> Mozambique </option>
                    <option value="Myanmar"> Myanmar </option>
                    <option value="Namibia"> Namibia </option>
                    <option value="Nauru"> Nauru </option>
                    <option value="Nepal"> Nepal </option>
                    <option value="Netherlands"> Netherlands </option>
                    <option value="New Caledonia"> New 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>
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