Donor Name: ________________________________________________

Donor Address: ______________________________________________________________________

Donation Type:

____ Yahrzeit

____ Sponsor Onegs and Kiddushim

____ General Donation

____ Prayer Book Dedication ($36)

____ Rabbi's Discretionary Fund **

____ Tree of Life Leaf ($200)

____ Tamor Memorial Fund **

____ Memorial Plaque ($500)

Please specify (if applicable):

In Memory of: _____________________________

In Honor of: ______________________________

Special Occasion: ____________________________________________________________________

Please make check payable to Temple Beth Sholom. Your donation (without the amount) will be listed in our Kol Sholom. Our hope is that our growing list of donors will inspire others to give.

(**) Please make out your checks payable to 'Rabbi's Discretionary Fund' or to the 'Tamor Fund'

Pay on-line using your CREDIT CARD at www.Temple-Beth-Sholom.org (2.35% Fee)