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5783 High Holy Day Pledge Form
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5783 High Holy Day Pledge Form
DONOR INFORMATION
*
Donor First Name
*
Donor Last Name
*
Donor Email Address
*
Donor Mobile Phone
*
Donor Address
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip Code
HIGH HOLY DAY PLEDGE INFORMATION
I with to make a High Holy Day Pledge for the following amount:
Please Select One
$180
$540
$1,000
$1,800
$3,600
$5,783 (Tree of Life Leaf)
$10,000*
$25,000*
$36,000*
$50,000*
$75,000*
Other amount
*For a donation of $10,000 or more you will be engraved on our donor wall.
Please enter your $ amount below:
I wish to add an additional 10%:
No thanks
Yes, please add $18 to my donation
I wish to add an additional 10%:
No thanks
Yes, please add $54 to my donation
I wish to add an additional 10%:
No thanks
Yes, please add $100 to my donation
I wish to add an additional 10%:
No thanks
Yes, please add $180 to my donation
I wish to add an additional 10%:
No thanks
Yes, please add $360 to my donation
I wish to add an additional 10%:
No thanks
Yes, please add $578.30 to my donation
I wish to add an additional 10%:
No thanks
Yes, please add $1000 to my donation
I wish to add an additional 10%:
No thanks
Yes, please add $2500 to my donation
I wish to add an additional 10%:
No thanks
Yes, please add $3600 to my donation
I wish to add an additional 10%:
No thanks
Yes, please add $5000 to my donation
I wish to add an additional 10%:
No thanks
Yes, please add $7500 to my donation
Total High Holy Day Pledge
Please click the submit button below to make payment arrangements on the next page.
Fri, April 19 2024 11 Nisan 5784
