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Please select your level of support:
*
$10,000
-
Kadima Society
$5,000
-
Pillar Society
$3,600
-
Platinum
$2,500
-
Gold
$1,800
-
Silver
$720
$360
$180
$
Afflilations (check all that apply)
*
Parent
Grandparent
Alumnus /a
Student
Faculty
Community Member
Where would you like to direct your donation?
*
The Friends of Texas Hillel is the general fund
select one
*Friends of Texas Hillel
*Shabbat & High Holy Days
*Israel Block Party/Israel Programming
Contact Information
Your Name (Donor's Name)
*
First Name
Last Name
Your Email Address
*
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*
Your Cell Number
The year you did (or will) graduate?
Your Spouse's / Partner's Name
First Name
Last Name
Your Spouse's / Partner's Email
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Your Spouse's / Partner's Cell Number
Mailing Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Your Child's Name
First Name
Last Name
Your Child's Anticipated Year of Graduation
This Child is a(n):
Undergraduate Student
Graduate Student
Your Child's Email Address
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Your Child's Cell Number
How did you hear about the event?
Tribute
I want this donation to be dedicated
In Honor of
In Memory of
Name Tribute dedicated to
First Name
Last Name
Yes! Please send this tribute by
Email
Snail Mail
Please send this Tribute to
First Name
Last Name
Email to send Tribute to;
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Address to Send the Tribute
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
I want to Subscribe to Texas Hillel's E-Newsletters
Yes
No
