Yom Kippur Yizkor Pledge Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

If you would like to Pay Now using paypal, please go to the Ahavat Achim paypal form at https://www.paypal.com/us/fundraiser/charity/1444321 and enter the amount you with to donate. PLEASE CLICK THE PAYPAL BOX THAT SAYS, “SHARE MY NAME”, OTHERWISE YOUR PAYMNET COMES IN AS "ANONYMOUS".

If you would like to pledge and be charged later, please continue.

Last Name *

First Name

Payment type: *

Paid via PayPal (go to PayPal before or after submitting this form)

Bill My Shul Acct

Please select your pledge amount: *

$36

$72

$118

$180

$360

$1000

Other:

To make your pledge in honor or in memory of someone, please provide their name here:

Any other comments and/or questions?

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Congregation Ahavat Achim.

Does this form look suspicious? Report

Forms