Mahzor Lev Shalem - Book Dedication
____ Label ____ Invoice ____ Card (FOR OFFICE USE ONLY)

We are taking donations for the Mahzor Lev Shalem, our new High Holiday prayer book. Donations can be made: In honor of, in memory of, or in celebration of your loved ones. Please contact the Temple Office to make a donation.

You will be invoiced $36.00 for each donation. Each donation must be filled out separately.

*Underwritten by the Leonard & Irwin Kamp Foundation*

From: *
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Address of Donor (Street, City, State, Zip) *
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Phone Number of Donor *
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Email Address of Donor *
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Recipient: *
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Type of Donation *
Who is this donation in honor/memory/celebration of: *
Special messages can be typed below.
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Do you want an acknowledgement card sent to the recipient? *
If yes, please provide the recipient's address.
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Special Message:
The inscription in the acknowledgement card. Limited to 150 characters.
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