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Friends Annual Fund Donation Form
First Name
Last Name
Email Address
Billing Street
Billing City
Billing State
Billing ZIP
Are you a member of Temple Israel of Boston?
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No
Yes
I am a member of another congregation
Would you like more information on how to become a member of Temple Israel of Boston?
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Yes
No, thank you
Donation Information
I would like to pay by:
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ACH/eCheck
Frequency
One Time
Monthly
Annually
Amount
$
If you have chosen a recurring donation, the first payment will be processed today. If you select the Monthly or the Annual Recurring option, this donation amount will go on in perpetuity until you tell us to cancel it.
Please contact
Emma Savitz
, Development Associate at Temple Israel to make an electronic gift exceeding $10,000. 617-566-3960.
Pay 3% Processing Fees?
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No
Processing Fee
Hidden Fee
Please make my gift anonymous
Type of Tribute
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Honor
Memorial
In Honor of:
To commemorate a simcha, mitzvah, or life milestone
In Memory of:
To commemorate a yahrzeit or passing of a loved one
Tribute Message
Notification Preference
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Email
Mail
Do not notify
Notification Name
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Notification Contact Information
Please include email or mailing address
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ACH Payment Information
Name on Account
Bank Name
Bank Routing Number
Bank Account Number
Account Type
Checking
Savings
Credit Card Payment Information
Card Number
Code
MM
YY
Payment Totals
Total Amount to be processed today
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Hidden Fields
Phone Number
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Contact Information