In Honor/Memory Of Donation Form

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Donation form

In Honor/Memory Of Donation

Note:To ensure that donations are applied to your KMS account, members must log in before making this donation. If you are not logged in, please do so before completing this form.

* From

Please write your name as you would like it to appear on the acknowledgement.

* Purpose of Donation

* Who or what are you honoring or commemorating?

* Last name of person/family to receive acknowledgement?

First Name(s) of people to receive acknowledgement

Address of the person/family to receive acknowledgement

* Please direct my donation to

* Are you a Double Chai Member?

Amount of donation

Confirmation E-mail

Where should we send a confirmation of your submission?

Fri, July 28 2017 5 Av 5777