Congregation B'nai Israel

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Tribute

Thank you for choosing a gift to honor a loved one or memorialize a special event. Each tribute gift helps the synagogue continue our work. The minimum donation is $18 which includes recognition in our synagogue newsletter and a personalized tribute card to the recipient.* If you do not wish to send a tribute card, the minimum donation is $15.

*Please note, the donation amount for Machzor or Lev Shalem Siddur Sponsorship is $36.

Only two tribute gifts can be made on the form below. Please execute another form for additional gifts.

Qty

Description

Amount

Total

Tribute #1 Amount

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Tribute #2 Amount

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Machzor Sponsorship

$36.00

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Lev Shalem Siddur Sponsorship

$36.00

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Congregation B'nai Israel pays a processing fee for this financial transaction. To help defray the cost of this fee, you may add 3% to your donation. If you would like to do this, please check here.

Total: $0.00

Tribute Information

If you have a Machzor Sponsorship, please fill out information below under "Machzor Sponsorship Information".

Tribute Gift #1:

Please select from the list above.

Honoree Name:

Specific Fund:

Please send notice of this gift to

Name:

Address:

City:

State:

Zip Code:

Message:

Tribute Gift #2:

Please select from the list above.

Honoree Name:

Specific Fund:

Please send notice of this gift to

Name:

Address:

City:

State:

Zip Code:

Message:

Machzor Sponsorship Information

Machzor #1 Tribute Type:

Honoree Name:

PLEASE SEND NOTICE OF THIS GIFT TO:

Name:

Address:

City:

State:

Zip Code:

Message:

Machzor #2 Tribute Type:

Name:

PLEASE SEND NOTICE OF THIS GIFT TO:

Name:

Address:

City:

State:

Zip Code:

Message:

Lev Shalem Siddur Sponsorship Information

Lev Shalem Siddur #1 Tribute Type:

Honoree Name:

PLEASE SEND NOTICE OF THIS GIFT TO:

Name:

Address:

City:

State:

Zip Code:

Message:

Lev Shalem Siddur #2 Tribute Type:

Honoree Name:

PLEASE SEND NOTICE OF THIS GIFT TO:

Name:

Address:

City:

State:

Zip Code:

Message:

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *