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Click to read David's poem - it will
break your heart!
Send mail to
Webmaster
with questions or comments about this web
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We
look forward to your donations and/or participation in our Outreach Projects.
Please print out this page, completing the information and FAX to Anne Silverman
@ 972 9 882 2116.
Or, copy the form below. Then paste it into an email and fill it in before
emailing it to Anne Silverman at hihosilv@netvision.net.il.
In either case, please mail your contribution to our representatives with a copy
of the form. Click on UP for the appropriate address.
Your Name:___________________________________________
Address:______________________________________________
City:_____________________________ Zip Code:____________
Country; ______________________________________________
Phone Number:__________________FAX:__________________
Mobile:________________________________________________
Please indicate your choice of Outreach Project, donation and if appropriate the
frequency of your donation
______ Outreach general fund
Donation _________
Your
donation will be placed in the general fund and distributed, as needed. Should
you or your organization need a report as to the specifics where your donation
was utilized, we would be pleased to accommodate that request.
______ Adopt a Family
Donation______ period - please circle to show month/quarter/year
You are committing to contribute a minimum of $100 USD or equivalent per month.
______ Breakfast Club
Donation ______
______ Bar & Bat Mitzvah Program
Donation ______
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