CONGREGATION B'NAI MOSHE DONATION FORM

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Congregation B'nai Moshe
6800 Drake Road
West Bloomfield, MI 48322

Date: _______________________

Donation of: $18 $36 $54 $ 100 Other $ ________
(Minimum donation is $18)

Check enclosed: ___________________
Bill Member Account
Non-member - Phone: ______________

PLEASE FILL IN ONE SELECTION
In Honor of: ___________________________________________________
In Memory of: _________________________________________________
Refuah Shlemah to: _____________________________________________

Message: ______________________________________________________
_______________________________________________________________
_______________________________________________________________

Donation made by:
Name: ________________________________________________________
Address: ______________________________________________________
______________________________________________________________

Send Acknowledgment to:
Name: ________________________________________________________
Address: ______________________________________________________
______________________________________________________________
CHOOSE A FUND:
Anna and Theodore Curtis Fund by Doreen Hermelin
Bimah Flowers ($185) - Date: __/__/_____
Breakfast ($60) - Date: __/__/_____
Building Fund
Cantor's Discretionary Fund
Cantor Klein Music Fund
Chumash ($70)
Congregational Fund
Dennis and Naomi Bahcall Music Fund
Ida & David Schwartz High School Fund
Joe M. & Flora Fisher Continuity Fund
Joyce and Mathew Borovoy Fund
Dr. Lloyd J. Paul Health Care Memorial Fund
Melvin Kepes Jewish Education Fund
Michelle and Jerome Seid Fund
Nellie & Max Friedman Shabbat Dinner Fund
Nettie & Norman Freilich Seniors Fund
Rabbi's Discretionary Fund
Ruth Rosenberg Albert Adult Education Fund
Seudah Shlishit ($125) - Date: __/__/_____
Shalom Ralph Building Fund
Sherry Wasserman Library Fund
Sherwin Tukel L.I.F.E. Endowment Fund
Six Million Martyrs Fund
Ungar Family Garden Fund
Yahrzeit Fund
Youth Fund