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Contact Information
Name
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First Name
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for individual listed above in "name"
Email
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email for individual listed in "name" above
If you are an alum, please enter the year you graduated and maiden name (if applicable)
Gift Description
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General Donation
Annual Dinner
Parnes Hayom ($180)
Mishmar Donation ($360)
Program Sponsorship
Memorial Donation
Capital Campaign
Other
Gift Amount
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$5,000
$3,600
$2,500
$1,800
$1,000
$750
$500
$360
$180
$100
$
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If sponsoring a Parnes Hayom or Mishmar, what date would you like to sponsor?
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