Pesach Seders-To-Go – Aishel House

Name*
First Last
Address*
Street Address Apt. or Suite ZIP Code
Email Address*
Cell Phone*
Are you currently receiving medical treatment?*
- Yes
- No
Hospital and Treatment Details*
Patient Name (As listed in hospital)*
Hospital*
Delivery Method*
- Volunteer Delivery
- Self Pickup
Room Number*
Seder Details
Seder Plate*
Price:
Each Seder plate comes with items for 1 Seder plate, 1 Hagada, and 1 portion of matza, maror, and grape juice.
A festive Holiday Meal – Shulchan Orech, will accompany the seder.
How many people will be at the Seder?
It is a special Mitzvah for each Jewish person at the seder to eat 3 oz. of Shmura Matza, 3 oz. of bitter herbs, and drink four cups (3.5 oz.) of wine or grape juice. Please select below how many portions to send.
How many people should we send Matza for?
How many people should we send Maror for?
How many people should we send a main course for?
We normally send meals for a patient and one caregeiver. To see if more than two people can be accommodated, please explain in the comments, and we will be in touch.
Any Dietary Restrictions?*
Referred by
Comments
If you will need for other days or nights and for other Yomtov needs please mention it in the comment box.
CAPTCHA

Additional Passover Resources