Donations - Form - Temple Beth Shalom

Thank you for your support of Temple Beth Shalom.

Please select a fund or funds from the menu below.

First Name

Last Name

Email Address

Donation 1: Please select a fund for your donation

Amount

Is this gift in honor or memory of someone?

No dedicationIn honor of...In memory of...

This gift is made in honor of:

This gift is in memory of:

Can we notify someone of this donation?

NoYes

Person to be notified for Donation #1

* Full Name

* Email Address of Person to be Notified

Address of Person to be Notified

Would you like to make an additional donation?

No, I'd like to continue to payment optionsYes

Donation 2: Please select a fund for your donation

Amount

Is this donation in honor or memory of someone?

No dedicationIn honor of...In memory of...

In honor of...

In memory of...

Can we notify someone of this donation?

NoYes

Person to be notified for Donation #2

Full Name

* Email Address of Person to be Notified

Address of Person to be Notified

Would you like to make an additional donation?

No, I'd like to continue to payment optionsYes

Donation 3: Please select a fund for your donation

Amount

Is this donation in honor or memory of someone?

No dedicationIn honor ofIn memory of

In honor of...

In memory of...

Who can we notify of this donation?

Please include contact information (name, email, address).

Would you like to make an additional donation?

No, I'd like to continue to payment optionsYes

Donation 4: Please select a fund for your donation

Amount

Is this donation in honor or memory of someone?

No dedicationIn honor ofIn memory of

In honor of...

In memory of...

Who can we notify of this donation?

Please include contact information (name, email, address).

Would you like to make an additional donation?

No, I'd like to continue to payment optionsYes

Donation 5: Please select a fund for your donation

Amount

Is this donation in honor or memory of someone?

No dedicationIn honor ofIn memory of

In honor of...

In memory of...

Who can we notify of this donation?

Please include contact information (name, email, address).

Would you like to make an additional donation?

No, I'd like to continue to payment optionsYes

Donation 6: Please select a fund for your donation

Amount

Is this donation in honor or memory of someone?

No dedicationIn honor ofIn memory of

In honor of...

In memory of...

Who can we notify of this donation?

Please include contact information (name, email, address).

Total