Please print out this form, and send with your contribution to:
Beth Israel Congregation
2000 Washtenaw
Ann Arbor, MI 48104.
REGULAR DONATION
Please accept my donation of $10 $18 $25 $36 $50 $100 $500 Other $______
This gift is designated for the following fund (or purpose): __________________________________**
Name of Contributor __________________________________________________________________
Address___________________________________________________________________________________
City_______________________________________________State_______________Zip_________________
Given in Memory of______________________________________________________________________
In Honor of_____________________________________________________________________________
Occasion__________________________________________________________________________________
Please send acknowledgement to:
Name____________________________________________________________________________________
Address___________________________________________________________________________________
City_______________________________________________State_______________Zip_________________
Please send acknowledgement to:
Name____________________________________________________________________________________
Address___________________________________________________________________________________
City_______________________________________________State_______________Zip_________________
** Click here to see list of funds
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