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2021 Annual Scholarship Dinner Payment Form

Saturday, March 6, 2021

To make a pledge, please email dinner@maayanot.org

Contact Information
*

Prefix
First Name
Last Name
Suffix

Prefix
First Name
Last Name
Suffix
*

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country


for individual listed above in "name"

for individual listed above in "spouse"
*

email for individual listed in "name" above

email for individual listed above as "spouse"


*
$

Please write how you wish to be listed on the Scroll of Tribute (i.e. Jane and John Smith)

If you have a message for the dinner committee, please use this space. Thank you!
Payment
Credit card payment form on next page. Please click Submit to continue. For donations made through JCF, Ma'ayanot is listed as 'Yeshiva High School for Girls' and our EIN is 22-3383708. To make a pledge, please email dinner@maayanot.org