Beth Israel Congregation "Etz Hayim" Humash Form

Please find enclosed my donation to Beth Israel Congregation of

$41.00 for one book
$82 for two books
$123 for three books

Name of Contributor_________________________________________________________________________

Address___________________________________________________________________________________

City_______________________________________________State_______________Zip_________________

I would like the Book Plate to contain the following information:

Presented To Beth Israel Congregation

Presented To
Beth Israel Congregation

By__________________________________________________________________________

In Memory of______________________________________________________________________

In Honor of______________________________________________________________________

Thank you for your generosity. Please print this form and send it with your check to:

Beth Israel Congregation
2000 Washtenaw
Ann Arbor, MI 48104

Use your browser's 'back' button to return.