A Project of Vaad Mishmeres STaM

ID Scroll Registry Application

5118 13th Avenue, Brooklyn, NY 11219 · 718-841-7997 · info@idscroll.org

Registration + Appraisal Package$500

Applicant Information

Name PhoneEmail Address City / State / ZIPCongregation or organization

Torah Scroll Information

Existing Vaad Mishmeres STaM code (if any)Leave blank if the Torah scroll does not have a code. A code will be assigned during registration. Name of scribeLicensed by Approximate year writtenPlace written Year purchasedCurrent estimated value Congregation intended for Where is the Torah scroll currently housed? Additional history or identifying details

Certification

I certify that the information above is correct. ID Scroll may contact me to schedule registration and appraisal.

SignatureDate