Donation and Membership Form for 5769 - Sept. 2008 - Sept. 2009

 

 

 

 

 

First Name

Family Name

Spouse’s Name

 

 

 

 

 

 

Address

City

Prov/St

Post/ZIP

Country

 

(       )       -

(       )       -

 

Daytime Phone

Evening Phone

E-mail Address

 

 

Memberships And Other Donations

Item

Qty

Price

Total

Single Membership

 

$120.00

 

Family Membership

 

$200.00

 

Member High Holiday Ticket

 

                           $50.00

 

Non-Member High Holiday Ticket

 

                           $75.00

 

Cemetery Upkeep (Price Per Plot)

 

                           $20.00

 

Memorial Plaque

 

$500.00

 

General Donation

 

 

 

Restoration Fund

 

 

 

Meal Sponsorships

Meal

Price

Date

Occasion (in memory / honour of)

 

 

Shabbat Kiddush

$250.00

 

 

 

 

Shabbat Meal

$350.00

 

 

 

 

Weekday Breakfast

$50.00

 

 

 

 

Weekday Mincha

$50.00

 

 

 

                                                                                                                   Total Amount

$

 

Donations can also be made through our website. www.theminsk.com