Temple Emunah, Lexington, MA

TEMPLE EMUNAH
Donation Form
For your convenience, please fill in the form on screen. Then to print it, choose "File" then "Print".
Please use a separate form for each donation. Minimum donation $10.

I wish to donate to the fund indicated below. Attached is my check for $

This donation is made:
In Honor Of In Memory Of In Appreciation Yahrzeit for
Other (Please specify)

Name
This donation is made by:
Name
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Please send the acknowledgement to:
Name
Address
City/State/Zip

Please use separate form for each donation. Minimum donation $10.

Beautification Fund Building Fund Circle of Life ($300) General Fund Holy Book Fund ($25) Library Fund Masorti Pre-School Fund Social Action Fund Youth Fund Kiddush Fund	New Chumash Fund ($40) PTO Fund/Religious School Rabbi Lerner's Discretionary Fund Rabbi Jacobs' Discretionary Fund Scholarship Fund/Religious School Simchat Mitzvah Fund Special Needs Fund Nahum & Anne Glatzer Memorial Fund Frances Sanderson Memorial Scholarship Fund Phyllis Klein Thrope Memorial Fund Send Memorial Plaque Form ($400)
Other, please specify:

Mail form and check to: Temple Emunah, 9 Piper Road, Lexington, MA 02421

Financial Office Use Only: Date _________ Processed by:_______________________________________

This donation is made:
In Honor Of In Memory Of In Appreciation Yahrzeit for
Other (Please specify)

Name
This donation is made by:
Name
Address
City/State/Zip
Please send the acknowledgement to:
Name
Address
City/State/Zip