I would like to sponsor a Kiddush. Please put me down for (date) .
This sponsorship is in honor or in memory of .

Please charge me the $400 sponsorship fee.
Please charge me the $550 sponsorship fee.
Please charge me the $720 sponsorship fee.
I would like to make a more elaborate Kiddush or would like to add to the regular contribution. Please charge me an addtional $ US

Please charge my Credit Card

* Denotes required field

Title*
First Name*
Last Name*
Address*
City*
State
Post Code*
Country
Phone
This is my home business address.

Amount of money to be charged to the card:

Card Type
Card Number

Exp. Date

Acknowledgement
Email Address
Reconfirm Email Address

Please acknowledge my gift by mail to the above street address.