New Version of the Donate Form

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Donation Amount*

There is a $10 minimum for online donations. $18 to sponsor the Weekly Scroll

Please choose a fund you would like to make your donation to:*

For a description of the funds, please click here.

Type of Tribute*

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Please credit my EMBEJC account towards my balance

In honor of

In memory of

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For the speedy recovery of

On the Yahrzeit of

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Description of Tribute (e.g., an event or a person's name)

Would you like to have an acknowledgement card sent?

Yes

Send the Card to:

Acknowledgement Address

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Donor Information

Donor Name*

First Last

Donor Email*

Donor Address*

Street Address Address Line 2 City State ZIP Code

Payment Information

Billing Method*

Pay by credit card (you will be taken to the PayPal website upon submission in order to enter your credit card information)

I am an EMBEJC member - please bill me.

I am willing to cover the 2.5% convenience fee required for online payments.

Yes

Additional contribution to cover the credit card convenience fee:

Price: $0.00

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