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First Name |
Family Name |
Spouse’s Name |
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Address |
City |
Prov/St |
Post/ZIP |
Country |
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(
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(
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Daytime Phone |
Evening Phone |
E-mail Address |
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Memberships And Other Donations |
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Item |
Qty |
Price |
Total |
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Single
Membership |
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$120.00 |
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Family
Membership |
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$200.00 |
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Member High Holiday Ticket |
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$50.00 |
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Non-Member High Holiday Ticket |
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$75.00 |
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Cemetery Upkeep (Price Per Plot) |
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$20.00 |
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Memorial Plaque |
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$500.00 |
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General Donation |
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Restoration Fund |
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Meal Sponsorships |
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Meal |
Price |
Date |
Occasion (in memory / honour of) |
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Shabbat
Kiddush |
$250.00 |
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Shabbat
Meal |
$350.00 |
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Weekday
Breakfast |
$50.00 |
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Weekday
Mincha |
$50.00 |
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Total Amount |
$ |
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Donations
can also be made through our website. www.theminsk.com