Yes! I'd like to be a chabad Chessed kindess recipient. Personal Information Title First Name: Last Name Address: City: State: Zip: Email Address: Cell Phone Number: Home Phone Number: Pickup Information Can Chabad Chessed assist me with obtaining the following items listed here: Please let us know why you might require assistance from Chabad Chessed: Can pick up Need drop off I can afford to contribute a portion of the cost of the items. Amount: $ I can not afford to contribute a portion of the cost of the items.