Online Pledge / Donations Form

Please provide the following contact information:

Name
 Address1
Address2
City    ST ZIP
Home Phone
E-mail
 Please select the fund from the dropdown list below, enter the amount and then click "Submit"

 The Flower, Kiddush, Temple Beautification and Sound System Funds are now the Sanctuary Fund

               Amount $

 For Donations of $10.00 or more, an acknowledgement will be sent to the Honoree you name below:

If the Honoree is a Temple member, we have the address
(if not, a space is provided for you to enter one)

In honor of (65 characters)
Address   

                       No Newsletter Listing please 
                                                    No Acknowledgement please  


We thank you for your generosity.
Your Donation will appear on your Temple Statement and in the next Temple Times Newsletter published 30 or more days from today.

If you DO NOT want this donation listed in the Temple Times, please check "No Listing" box above
If you DO NOT want an acknowledgement sent, please check "No
Acknowledgement " box above

 Please send your check to:

Temple Beth Shalom
760 Route 6
Mahopac, NY 10541

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Copyright © 2005 Temple Beth Shalom. All rights reserved.
Revised: 07/03/11