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	Dedication Opportunities - Chabad Jewish Center of South Metro Denver 
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Torah Dedication</a></div>
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			<h1 class="article-header__title js-article-title js-page-title">Dedication Opportunities</h1>
		
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<form class="userform-form" action="" method="post" name="form_5940088" id="5940088" accept-charset="utf-8"><input type="hidden" name="formID" value="5940088" /><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 style="text-align: center;"><span style="font-size: 22px;">Join in the rare opportunity to dedicate a portion in a brand new Torah, fulfilling the 613th and final commandment to write a Torah scroll.</span></p><p style="text-align: center;"><span style="font-size: 22px;">A beautiful commemorative certificate will recognize your dedication in the Torah. </span></p></div> </div></li><li id="cid_3" class="form-input-wide"> <div class="form-header-group"><h2 id="header_3" class="form-header">Dedication Opportunities</h2></div> </li><li class="form-line" id="id_5"><div id="cid_5" class="form-input-wide"> <div id="text_5" class="form-html"><p><span style="font-size: 18px;">The Yad, Torah's Silver Hand - The silver pointer used for reading Torah. A dedication of your choice will be engraved on it.</span></p></div> </div></li><li class="form-line" id="id_4"><div class="form-label-left" id="label_4"><label for="input_4"> The Yad  </label><label class="label-message" for="input_4"> </label></div><div id="cid_4" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_4_0" name="q4_input4[]" value="$3,600" /><label id="label_input_4_0" for="input_4_0"><span>$3,600</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_7"><div id="cid_7" class="form-input-wide"> <div id="text_7" class="form-html"><p><span style="font-size: 18px;">One complete book of the Five Books of the Torah. This level of dedication includes special Torah recognition for your family.</span></p></div> </div></li><li class="form-line" id="id_6"><div class="form-label-left" id="label_6"><label for="input_6"> Book of Torah </label><label class="label-message" for="input_6"> </label></div><div id="cid_6" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_6_0" name="q6_input6[]" value="$1,800" /><label id="label_input_6_0" for="input_6_0"><span>$1,800</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_9"><div id="cid_9" class="form-input-wide"> <div id="text_9" class="form-html"><p><span style="font-size: 18px;">Dedicate a special section in the Torah Scroll for yourself or a loved one. You may choose to mark a personal celebration, or to connect a unique blessing in the Torah.</span></p></div> </div></li><li class="form-line" id="id_8"><div class="form-label-left" id="label_8"><label for="input_8"> Special Section - $1,000 </label><label class="label-message" for="input_8"> </label></div><div id="cid_8" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_8_0" name="q8_input8[]" value="Blessings to Children" /><label id="label_input_8_0" for="input_8_0"><span>Blessings to Children</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_8_1" name="q8_input8[]" value="Az Yashir (song at red-sea)" /><label id="label_input_8_1" for="input_8_1"><span>Az Yashir (song at red-sea)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_8_2" name="q8_input8[]" value="The Ten Commandments" /><label id="label_input_8_2" for="input_8_2"><span>The Ten Commandments</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_8_3" name="q8_input8[]" value="Vayehi Binsoa (prayer at the ark opening)" /><label id="label_input_8_3" for="input_8_3"><span>Vayehi Binsoa (prayer at the ark opening)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_8_4" name="q8_input8[]" value="Hashem Hashem (G-d’s attributes of mercy)" /><label id="label_input_8_4" for="input_8_4"><span>Hashem Hashem (G-d’s attributes of mercy)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_8_5" name="q8_input8[]" value="Bircat Kohanim (priestly blessing)" /><label id="label_input_8_5" for="input_8_5"><span>Bircat Kohanim (priestly blessing)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_8_6" name="q8_input8[]" value="Shema Yisrael Prayer" /><label id="label_input_8_6" for="input_8_6"><span>Shema Yisrael Prayer</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_8_7" name="q8_input8[]" value="Chazak - The conclusion of a book of Torah (5 Available)" /><label id="label_input_8_7" for="input_8_7"><span>Chazak - The conclusion of a book of Torah (5 Available)</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_11"><div id="cid_11" class="form-input-wide"> <div id="text_11" class="form-html"><p><span style="font-size: 18px;">Dedicate an entire weekly Torah portion for yourselfor a loved one that corresponds to a special date in the calendar such as a birthday, Bar/Bat Mitzvah, Yahrtzeit, etc.</span></p></div> </div></li><li class="form-line" id="id_10"><div class="form-label-left" id="label_10"><label for="input_10"> Weekly Parsha - Torah Portion </label><label class="label-message" for="input_10"> </label></div><div id="cid_10" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_10_0" name="q10_input10[]" value="$540" /><label id="label_input_10_0" for="input_10_0"><span>$540</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_13"><div id="cid_13" class="form-input-wide"> <div id="text_13" class="form-html"><p><span style="font-size: 18px;">A complete Aliya, one of the seven segments of each Torah portion, read every Shabbat.</span></p></div> </div></li><li class="form-line" id="id_12"><div class="form-label-left" id="label_12"><label for="input_12"> Aliyah </label><label class="label-message" for="input_12"> </label></div><div id="cid_12" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_12_0" name="q12_input12[]" value="$360" /><label id="label_input_12_0" for="input_12_0"><span>$360</span></label></span><span class="clearfix"></span></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><span style="font-size: 18px;">Dedicate a Torah verse that has special meaning to you, a friend, or a loved one.</span></p></div> </div></li><li class="form-line" id="id_14"><div class="form-label-left" id="label_14"><label for="input_14"> Verse </label><label class="label-message" for="input_14"> </label></div><div id="cid_14" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_14_0" name="q14_input14[]" value="$180" /><label id="label_input_14_0" for="input_14_0"><span>$180</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_17"><div id="cid_17" class="form-input-wide"> <div id="text_17" class="form-html"><p><span style="font-size: 18px;">Each word in the Torah bears tremendous meaning and timeless lessons. Dedicate a word for each family member.</span></p></div> </div></li><li class="form-line" id="id_16"><div class="form-label-left" id="label_16"><label for="input_16"> Word(s) </label><label class="label-message" for="input_16"> </label></div><div id="cid_16" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_16_0" name="q16_input16[]" value="$36" /><label id="label_input_16_0" for="input_16_0"><span>$36</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_20" class="form-input-wide"> <div class="form-header-group"><h2 id="header_20" class="form-header">Dedication</h2></div> </li><li class="form-line" id="id_19"><div class="form-label-left" id="label_19"><label for="input_19"> Include dedication in honor or in memory of a loved one. </label><label class="label-message" for="input_19"> </label></div><div id="cid_19" class="form-input"> <textarea id="input_19" class="form-textarea" name="q19_input19" cols="40" rows="6"></textarea> </div></li><li id="cid_21" class="form-input-wide"> <div class="form-header-group"><h2 id="header_21" class="form-header">Reservations</h2></div> </li><li class="form-line" id="id_22"><div class="form-label-left" id="label_22"><label for="input_22"> I/we will attend the Torah celebration on Sunday, May 21st </label><label class="label-message" for="input_22"> </label></div><div id="cid_22" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_22_0" name="q22_input22" value="Yes" /><label id="label_input_22_0" for="input_22_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_22_1" name="q22_input22" value="No" /><label id="label_input_22_1" for="input_22_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_23"><div class="form-label-left" id="label_23"><label for="input_23"> Number of reservations </label><label class="label-message" for="input_23"> </label></div><div id="cid_23" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_23" name="q23_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_24"><div class="form-label-left" id="label_24"><label for="input_24"> Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_24"> </label></div><div id="cid_24" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q24_fullName[first]" id="first_24" autocomplete="given-name" />  <label class="form-sub-label" for="first_24" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q24_fullName[last]" id="last_24" autocomplete="family-name" />  <label class="form-sub-label" for="last_24" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_25"><div class="form-label-left" id="label_25"><label for="input_25"> E-mail<span class="form-required">*</span> </label><label class="label-message" for="input_25"> </label></div><div id="cid_25" class="form-input"> <input type="email" class=" form-textbox validate[required, Email]" id="input_25" name="q25_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_26"><div class="form-label-left form-label-hidden" id="label_26"></div><div id="cid_26" class="form-input"> <div class="form-single-column form-checkbox-item"><input name="optin" value="true" type="checkbox" checked="checked" class="form-checkbox" id="input_26" /><label id="label_input_26" for="input_26">I would like to receive news and updates by email</label></div> </div></li><li class="form-line" id="id_27"><div class="form-label-left" id="label_27"><label for="input_27"> Phone Number<span class="form-required">*</span> </label><label class="label-message" for="input_27"> </label></div><div id="cid_27" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q27_phoneNumber[area]" id="input_27_area" autocomplete="tel-area-code" size="3" />  <label class="form-sub-label" for="input_27_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q27_phoneNumber[phone]" id="input_27_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_27_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li id="cid_28" class="form-input-wide"> <div class="form-header-group"><h2 id="header_28" class="form-header">Payment</h2></div> </li><li class="form-line" id="id_29"><div class="form-label-left" id="label_29"><label for="input_29"> Total </label></div><div id="cid_29" class="form-input"> <div id="total_amount">$0.00 </div> </div></li><li class="form-line" id="id_30"><div class="form-label-left" id="label_30"><label for="input_30"> Payment </label><label class="label-message" for="input_30"> </label></div><div id="cid_30" 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"></td></tr><tr class="credit_card "><th colspan="2">Credit Card</th></tr><tr class="credit_card "><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, Discover</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 class="cc-icon discover-icon"></div></div><input type="hidden" name="q30_payment[cc_type]" id="input_30_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="q30_payment[cc_number]" id="input_30_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_30_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="q30_payment[cc_ccv]" id="input_30_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_30_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="q30_payment[cc_nameOnCard]" id="input_30_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_30_cc_nameOnCard" id="sublabel_cc_nameOnCard">Name on Card</label></span></td></tr><tr class="credit_card "><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q30_payment[cc_exp_month]" id="input_30_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 - 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