Yom Kippur Pledge

"*" indicates required fields

We honor those who have gone before on Yom Kippur with a Memorial Book. If you would like your loved one(s) listed, please fill out the information below. Proceeds benefit the Reba and Art Douglass Religious School and Temple Israel programming. Please make your donation by August 24, 2023. Anything received after this date may not be published in the Memorial book but will be noted in the subsequent E-bulletin.

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

I would like to make the same donation as last year

Yes

I would like to be a Benefactor. Please list the following names in the the Book of Remembrance. $100.00 per name or couple.

Number of Listings

Price: $100.00

I would like to be a Supporter. Please list the following names in the "In Memoriam" section of the Book of Remembrance. $10.00 per name.

Number of Listings for "In Memoriam"

Price: $10.00

Payment Information

Payment Method*

Pay by credit card

Pay by check

Pay by credit card - I would like to cover the processing fees

Please make your check payable to the synagogue and mail it to the synagogue office with a copy of the email receipt you will receive upon submission.

Total

Processing Fee

Price: $0.00

Credit Card

Cardholder Name

Card Details

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Temple Israel of Scranton

Yom Kippur Pledge

Yom Kippur Pledge

Payment Information

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