Rowan Mezuzah Install

Name *

Number *

Where would you like your Mezuzah installed *

Dorm

Apartment

Off campus home

Please write the address for the install *

Do you have permission from your RA to install (we can help if you didn't make these arrangements yet) *

Yes

No

I need help with this

NA

Can you confirm that you will be in touch with us to return this at the end of the year/when lease is up? (we will only install if this can be confirmed) *

Yes

No

Can you cover the cost for the Mezuzah rental? *

Rental price ($18)

Suggested donation ($10)

Not at this time

Comments?