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TEMPLE BETH SHOLOM

DONATION FORM
MADE BY_________________________________________ DATE SENT __________

ADDRESS_________________________________________ AMOUNT $__________

CITY, ST ZIP______________________________________ CHECK _____________

VISA/MC_________________________________________ EXP. DATE __________

___In Honor of ___In Memory of ___Thank You ___Speedy Recovery

NAME _____________________________________

ADDRESS __________________________________

CITY, ST ZIP _______________________________

TYPE OF DONATION

____ MEMORIAL/YAHRZEIT ____ HEATHER SAXE SCHOLARSHIP FUND

____ RABBI’S DISC. FUND ____ AUDREY MERKIN SCHOLARSHIP FUND

____ ASST. RABBI’S DISC. ____ SCHNEE EDUCATION FUND

____ CANTOR’S DISC. FUND ____ LAWRENCE A. SCULLY LIBRARY FUND

___GENERAL FUND ____BUILDING FUND

____ PRESCHOOL FUND ____WARSAW GARDEN FUND

____ RELIGIOUS SCHOOL FUND ____ USY / YOUTH FUND

____ SOLOMON SCHECHTER ____ L’DOR V’DOR

____ BUILDING BEAUTIFICATION ____ GENERAL FUND

____ CHEVRA KADISHA FUND ____ PRAYER BOOK / BIBLE FUND

____ SIDNEY CHAPLIN SCHOLARSHIP FUND FOR SSDS-LV

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