Hebra Donation Form - Form - Congregation Shearith Israel

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Hebra Donation Form

* First Name

* Last Name

* Email Address

* How much would you like to donate?

The Hebra will be notified of your gift, but you may also donate in memory or in honor of someone else. (Only one household please. Donation amount will not be included.)

This donation is in memory of

Please notify his/her relative at this email or home address

This donation is in honor of

Please notify him/her at this email or home address

How would you like your name(s) to be listed?

Total

Wed, December 12 2018 4 Tebeth 5779

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