Parnes HaYom

Donation Amount:

$ 180.00

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Personal Info

First Name *

Last Name

Email Address *

Phone Number *

What date would you like to sponsor? *

Click Here if you would like to insert a Hebrew date

Please list the full names of the sponsors - IMPORTANT! THIS IS HOW YOUR NAME WILL BE LISTED ON THE ANNOUNCEMENT

Please select one: In Memory of For the Yahrtzeit of In Honor of For the Refuah Shelaima of On the Occasion of Other

Other

Please Write Out the Text for the Parnes HaYom Announcement:

Are there student names that we should mention in the announcement? Please include the connection between the student and sponsorship.

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Credit Card Info

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Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $180.00