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Library Fund

Thank you for your donation to Congregation Ner Tamid. This form will expand so that you may provide details regarding the donation and you may also dedicate the donation in honor of, in memory of, a special event, etc. When you finish, please click on the "register" button at the end of the form. Congregation Ner Tamid will process the donation and notify the indicated person(s) of your donation.

* Donor Name

* Phone Number

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* Name

* City, State, Zip Code

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	In Honor Of
	In Memory Of
	In Appreciation Of
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* 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 have my name mentioned in the monthly bulletin.

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Account Details

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

*E-mail

*First Name

*Last Name

Payment Information

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Expiration Date

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Address Line 1

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Comments

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

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