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Tzedakah Form

Please use my donation to support (choose one):

Please indicate the amount you would like to donate in the box above.
If you do not indicate an amount, your donation will not be recorded.

Full name of Honoree
Tributes will be sent as physical postcards. Please provide the recipient's mailing address if they are not a member.

How would you like to be acknowledged?

Acknowledgements will be sent as paper postcards 2-4 weeks after your donation is received. If you would like to receive your acknowledgement by email, please indicate this in the "extra instructions" box.

Acknowledgements are also separate from tax receipts. Beth Shalom sends out tax receipts each January with a list of your donations for the previous year.

Please include any other notes or instructions about this gift here: 


Your information

First Name
Last Name
Address 1
Address 2
Zip Code
Your cell phone number
Your Email Address
Thu, December 8 2022 14 Kislev 5783