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Sponsoring Kiddush

Sponsor a Kiddush on Shabbat
Date of sponsorship*

Month Day Year
in Honor of*
Full Name*
First Name Last Name

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail*
Phone Number*

Area Code Phone Number
I would like to sponsor a Kiddush*

Sponsorship
Optional Additional donation

$50$75$100$180
Total

$0.00

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Comments / special instroction
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