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Tree of Life

Commemorate a special occasion with a "leaf" on our beautiful Tree of Life sculpture in the Temple lobby.

Your donation is greatly appreciated and will be listed in the Temple Beth El Bulletin unless otherwise specified. An acknowledgement will also be sent.

You may remit your gift through a credit card or an electronic funds transfer from your checking account.

* Name of honoree

* Donor names as you want listed

* Inscription

* Category

	Triple Chai	$1,000.00
	Silver Leaf - Gold Border	$750.00
	Silver Leaf	$250.00

* Enter a telephone number in case we need to contact you

TBE Bulletin

Publish the donation
Do not publish the donation

For questions, please contact Mindy in the Temple office at (203) 322-6901, ext. 301 or email [email protected].

Send an acknowledgement to:

Name(s)

Street Address

City, State, Zip

Please consider increasing your donation by 3% to cover credit card fees by indicating "YES" at the bottom of the form. Thank you.

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase my donation by 3% to cover credit card fees. Please select YES to increase your donation.

Total:

Tree of Life

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

Tree of Life

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

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