I wish to dedicate the following:

 
 
Distinct label will be affixed on inside cover. Card recognizing this dedication from you shall be sent to:
Distinct recognition will be on display in Kollel study hall and a card recognizing this dedication from you shall be sent to:
Distinct recognition will be on display at Pre-School entrance on day of dedication and a card recognizing this dedication from you shall be sent to:
 
Your Info
First Name
Last Name
Address
City
State
Zip Code
Phone
 
 
Check the method of payment below:
I hereby commit to paying this pledge in full in:
 
as
for this dedication.
 
as
for this dedication.
 
Card Number

CVV Security Code What's This
Expiration Date
 
 
This dedication is being made:
 
 
Acknowledgement
Email Address
Reconfirm Email Address
You may acknowledge my gift to my email address
Please acknowledge my gift to the above street address
Please contact me to discuss additional giving opportunities

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