Return this form early, as responsibility cannot be accepted for forms received after 9:00 a.m. on Thursday, March 26, 2026.

Fill out the form below and give it or mail it to:


Rabbi Shmuel Kaplan
The Shul at the Lubavitch Center
6701 Old Pimilco Road
Baltimore, Maryland 21209

Download the form

If the form does not display, click on the "Download the form" link above to open in Adobe Acrobat Reader.

Your web browser doesn't have a PDF plugin.Instead you can click here to download the PDF file.