Donation/Contribution Form
Use this form to make donations to any of the following funds indicating the amount and reason for your donation where noted. Donations can be made for any amount of $10 or more. Make check payable to: Congregation Beth Sholom.
Date_______________ Donation amount of: $_________ being made by:
Name:____________________________________________________________
__Albert M. & Ida Shulman Israel Scholarship Fund
__Ayin L'tzion Fund
__Barry Reis Scholarship Fund
__Children's Programming Fund
__*Fred Friesner Maot Hittim Fund
Make payable to Fred Friesner Fund
__General Fund
__Hesed Fund
__Kiddush Fund
__Library Fund
Children's Book $18, Adult Book $25
__Prayer Book Fund
Siddur $30, Humash $75
Machzor $30, Megiloth $18
__Rabbi Barry Schaeffer Memorial Fund
__Rabbi's Discretionary Fund
__Ruth Miller Memorial Fund
__Social Action/Tikkun Olam
__Tzipporei Shalom
This donation is being made:
In honor of:______________________________________________________________
________________________________________________________________________
In memory of:____________________________________________________________
Other reason:_____________________________________________________________
Please send a card to: (Name)_________________________________________________
Address: (If not a member)___________________________________________________
_________________________________________________________________________
Check enclosed________ Bill Me________
Bill my credit card ___Visa _____ Master Card ______American Express
*Please Note: Minimum credit card transaction is $20.00 – You may use your credit card to make donations, however, a surcharge of 4% for Visa/Mastercard or 3% for AMEX will be added to the amount you are charging to cover our current costs for credit card transactions.
Account #____________________________________Exp Date_________
Signature_____________________________________________________
