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Kiddush Form

Kiddush Form

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kiddush

Kiddush Sponsorship Form 

I would like to sponsor a Kiddush.  Please put me down for (date)  .   
This sponsorship is in honor or in memory of 
 
Please charge me the $250 sponsorship fee. 
Please charge me the $350 sponsorship fee. 
Please charge me the $720 sponsorship fee. 
I would like to make a more elaborate Kiddush or would like to add to the regular contribution.  Please charge me an addtional  $   US 

Please charge my Credit Card 

* Denotes required field

Title*
First Name*
Last Name*
Address Line 1*
Address Line 2
City*
State
Post Code*
Country
Phone
This is my  home  business address.

  

Card Type
Card Number

Expiration Date

3 or 4 digit security number

 

Acknowledgement
Email Address
Reconfirm Email Address
 

  
Please click submit only once. 
Please wait a few seconds for acknowledgement online that your information was received. We will send you a receipt once your donation has been processed. If you have problems with this form please notify us by email.

 

 

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