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Legacy Giving Donor Form
If you have already arranged to make a Legacy Gift to Kerem Shalom, or are actively planning to do so,
please fill in this form to let us know. We are most grateful for your generosity!
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Optional Second Person's First Name
Your answer
Optional Second Person's Last Name
Your answer
Your mailing address (street, town, state, zip)
*
Your answer
Email(s)
*
Your answer
Cell Phone(s)
*
Your answer
Home Phone
*
Your answer
If you are making a legacy gift:
*
I/We give permission to include my/our names in information about "Steward of the Vineyard"
I/We prefer my/our gift to remain anonymous.
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