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:
□ Albert (Ruth Rosenberg) Adult Education Fund
□ Bayles (Richard) Scholarship Fund
□ Bahcall (Dennis & Naomi) Music Fund
□ Bimah Flowers ($200) - Date: __/__/_____
□ Borovoy (Joyce & Mathew) Fund
□ Breakfast Fund ($60) - Date: __/__/_____
□ Building Fund
□ Cantor's Discretionary Fund
□ Cantor Klein Music Fund
□ Chumash Bookplate ($70)
□ Congregational Fund
□ Curtis (Anna & Theodore) Fund
□ Fisher (Joe M & Flora) Continuity Fund
□ Freilich (Nettie A & Norman) Senior Fund
□ Friedman (Nellie & Max) Shabbat Dinner Fund
□ Gold Leaf Small ($300)
□ Gold Leaf Large ($500)
□ Kepes (Melvin) Jewish Education Fund
□ Klarman (Barbara & Ed) Music Fund
□ Lewkowicz (Steve) Memorial Fund
□ Paul (Dr. Lloyd J.) Health Care Memorial Fund
□ Rabbi's Discretionary Fund
□ Ralph (Shalom) Building Fund
□ Schwartz (Ida & David) High School Fund
□ Seid (Michelle & Jerome) Family Fund
□ Seudah Shlishit ($150) - Date: __/__/_____
□ Siddur Bookplate ($100)
□ Six Million Martyrs Fund
□ Smith (Asher & Sarah) Memorial Fund
□ Tukel (Sherwin) L.I.F.E. Endowment Fund
□ Ungar Family Garden Fund
□ Wasserman (Sherry) Library Fund
□ Yahrzeit Fund
□ Youth Fund