Get your Mezuzah!

You must agree to the Terms and Conditions,
please try again!

"; showForm(); } else { //mail all the info $to = "chabad@tcnj.edu"; $subject = "Mezuzah Order"; $message = "Order details:
-----------------------------
name - $_POST[name]
address - $_POST[address]
city - $_POST[city]
state - $_POST[state]
zip - $_POST[zip]
phone - $_POST[phone]
email - $_POST[email]
housing - $_POST[housing]
room number - $_POST[room]
------------------------------"; $headers = 'MIME-Version: 1.0' . "\r\n"; $headers .= 'Content-type: text/html; charset=iso-8859-1' . "\r\n"; mail( $to, $subject, $message, $headers ); echo "Thank you $_POST[name], you will be contacted shortly..."; } } else showForm(); function showForm() { ?>

Now is your chance to get a Mezuzah!

The deal goes like this: you pay $20, and we give you a mezuzah for two-semseters (winter and spring). We'll even make sure to deliver it to you on the day you arrive!

And guess what? If you bring back the Mezuzah in good condition at the end of the spring semester, we'll reimburse you the full $20!!!

All you need to do is fill out the following forms.

Personal Info

Name:
Address:
City:
State:
Zip:
Phone:
Email:
Housing:
Room Number:

Terms and Conditions

I agree to pay $20 for two-semester use of a 'Chabad at TCNJ' Mezuzah. I understand that I will be refunded $20 upon return of the Mezuzah in good condition at the end of the spring semester.