Annual Appeal 5784

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Donor Information

* First Name

* Last Name

and

First Name

Last Name (if different)

* Street Address

Suite, Apt, Unit

City or Town

Province

Postal Code

* Email

Used for emailing donation receipts in February of following year

Mobile

Home Phone

* The amount I wish to contribute is

Minimum $36.00

Are you making this donation in someone's honour or memory?

Please Select OneYesNo

Please indicate the type of Tribute

Person's name and/or event

Optional: Personal Message

Do you wish us to send a tribute card?

Please Select OneYesNo

To whom should we send a tribute card?

Are they a member of Temple Har Zion?

Please Select OneYesNo

* Email

* Address

Address Line 2

* City

* Province

* Postal Code

Would you like to make another donation to the Annual Appeal?

No, thank youYes, please

How many additional donations would you like to make?

One moreTwo more

Donation #2 — Annual Appeal

* The amount I wish to contribute is

Minimum $36.00

Are you making this donation in someone's honour or memory?

Please Select OneYesNo

Please indicate the type of Tribute

Person's name

Optional: Personal Message

Do you wish us to send a tribute card?

Please Select OneYesNo

To whom should we send a tribute card?

Are they a member of Temple Har Zion?

Please Select OneYesNo

* Address

Address Line 2

* City

* Province

* Postal Code

Donation #3 — Annual Appeal

* The amount I wish to contribute is

Minimum $36.00

Are you making this donation in someone's honour or memory?

Please Select OneYesNo

Please indicate the type of Tribute

Person's name

Optional: Personal Message

Do you wish us to send a tribute card?

Please Select OneYesNo

To whom should we send a tribute card?

Are they a member of Temple Har Zion?

Please Select OneYesNo

* Address

Address Line 2

* City

* Province

* Postal Code

Total donation for today

Annual Appeal 5785