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Yahrzeit Donations

Thank you for your Yahrzeit donation to Congregation Ner Tamid.

Contributor Information

* Donor Name

* Phone

In loving memory of:

* Name

Donation Information

* Yahrzeit donation amount $

All donations of $18 or more will be acknowledged in the Monthly Bulletin unless you check this box.

I do not wish to be included in the monthly bulletin

How would you like your name(s) to appear in the Monthly Bulletin?

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total:

Yahrzeit Donations

Contributor Information

Donation Information

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

Yahrzeit Donations

Contributor Information

Donation Information

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

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