JEWISH PENICILLIN HOTLINE

We know it can be hard for students to be away from home, especially when they’re sick...or homesick.

Complete this form to schedule a care package delivery and we’ll deliver 2 quarts of matzo ball soup (with your choice of matzo balls or noodles), rolls or crackers, and other treats to your student’s dorm or apartment within 24-48 hours with a personalized card from you. Students rave about this delicious soup!

Package costs $45.

Delivery requests placed on Jewish or federal holidays may not be processed until the next business day.

Student Info

Student's First Name *

Student's Last Name *

Student Cell *

Student Email *

Address (or dorm & room number) *

Your Info

Your First Name *

Your Last Name *

Relationship to Student *

Your Phone Number *

Your Email *

Order Info

Some customizations can be made based on dietary restrictions.

If kosher option is needed, we can only provide matzo balls with soup.

If gluten free option is needed, we can only provide gluten free noodles, not matzo balls.

If Kosher and GF is needed, we can only provide broth.

Dietary Requirements *

None

Kosher

Gluten Free

Vegetarian

Does your student prefer *

Noodles

Matzo Balls

No noodles or matzo balls

Does your student prefer *

Gluten free noodles

Nothing

Does your student prefer *

Matzo Balls

Nothing

What would you like your card to say? *

Payment Info

Name on Card *

Credit Card Number *

Expiration (mm/yy) *

Amount to be charged? *

Billing Address, City, State and Zip *