Microsoft Word - Tribute Fund Donation Form

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Tribute Fund
Donation Form
 Honor a loved one  Celebrate special events 
 Uphold the memory of the dearly departed 
with a donation to Temple Beth El
Please accept my contribution to the following Tribute Fund (select one):
______Bima Beautification Fund
______Saturday Service Kiddush Fund
______Donna Van Slyke Campership Fund
______Raymond Plotkin Campership Fund
Library Funds
_______Children’s Library
_______Cedarbaum and Mitchell Adult Library
_______Cedarbaum Reference Collection)
Education Funds
_______ECC
_______Leadership Development Fund
_______Religious School
_______Prayer Book Fund ($36 / book)
_______Mirsky TBESOC Religious School Scholarship _______Prayer Book Fund ($54 / Torah)
_______General Fund
_______Rabbi Allen Krause Scholar In Residence Fund
_______Endowment Fund
_______Rabbi Levi Discretionary Fund
_______Iris & Marshall Miller Memorial Shiva Fund _______Rabbi Kort Discretionary Fund
_______Israel Matters Fund
_______Rabbi K’vod Wieder Discretionary Fund
_______Gloria & Herb Smolinsky Torah Fund
_______Cantor Natalie Young Discretionary Fund
Please select one:
In honor of... In memory of... On occasion of...
___________________________________________
Donation given by:
Name:____________________________________________
Address:________________________________________________________
Attached is check number:_____________Date:__________
-ORAmount of Donation $___________ I authorize payment on my Visa / MC
#:______________________________________Expiration date:__________
Signature: _________________________________________
Please send acknowledgement to (requires minimum $10 donation):
Name:______________________________________________
Address:________________________________________________________
Please make a minimum $10 donation. Only recipients will receive an acknowledgment. Temple members will not
receive a written acknowledgment, but will be recognized in the Temple Talk (quarterly newsletter).
Please Mail Form and Check to:
Temple Beth El of South Orange County  2A Liberty  Aliso Viejo, CA 92656-3372
Or email to mthompson@tbesoc.org
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