Donation Forms Archive - Page 2 of 4

$44,623 of $20,000 raised

Three Weeks 2023

$ Donation Amount:

Make this donation every

Mobile Phone

Address, City, State, Zip

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AMEX-MC-VISA-DISCOVER
Offline Payment
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Personal Info

First Name *

Last Name *

Email Address *

Comment

Credit Card Info

This is a secure SSL encrypted payment.

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

I'd like to help cover the transaction fees of 0 for my donation.

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Donation Total: $18.00 One Time

Raffle

Donation Amount:

$ 36.00

Name

Phone #

Ticket #

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AMEX-MC-VISA-DISCOVER
Offline Payment
Stripe Checkout

Personal Info

First Name *

Last Name *

Email Address *

Comment

Credit Card Info

This is a secure SSL encrypted payment.

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

I'd like to help cover the transaction fees of 0 for my donation.

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Donation Total: $36.00

Partner With Us-copy

Become a partner in restoring Jewish life to all parts of Jerusalem's Old City and the surrounding area. Celebrate Yerushalayim

My donation is for: (Choose One)

Donation Note

Mobile Phone

Address

City

State

Zip Code

$ Donation Amount:

Make this donation every

Select Payment Method

AMEX-MC-VISA-DISCOVER
Offline Payment
Stripe Checkout

Personal Info

First Name *

Last Name *

Email Address *

Comment

Credit Card Info

This is a secure SSL encrypted payment.

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

I'd like to help cover the transaction fees of 0 for my donation.

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Donation Total: $180.00 One Time

$119,402 of $100,000 raised

Yom Yerushalayim Celebration 2023

Mobile Phone

My Registration is

Please enter names of those attending - Please place a comma between each name

Address, City, State

$ Donation Amount:

Dedicate this Donation

Yes, please
No, thank you

Dedication Type

Honoree Details

First Name *

Last Name

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AMEX-MC-VISA-DISCOVER
Offline Payment
Stripe Checkout

Personal Info

Title

First Name *

Last Name *

Is this donation on behalf of a company?

Company Name

Email Address *

Make this an anonymous donation.

Comment

Create an account

Credit Card Info

This is a secure SSL encrypted payment.

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

I'd like to help cover the transaction fees of 0 for my donation.

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Donation Total: $350.00

$0 of $450,000 raised

Yom Yerushalayim Celebration Appeal*-backup copy 5-23

$ Donation Amount:

I'd like to help cover the transaction fees of 0 for my donation.

Make this donation every

My Donation Is In Honor Of:

YES NO

HOW MANY

Enter Names Seperated by a Comma

Phone Number:

Street Address

City

State

Zip/Postal Code:

Select Payment Method

AMEX-MC-VISA-DISCOVER
Offline Payment
Stripe Checkout

Personal Info

First Name *

Last Name *

Email Address *

Make this an anonymous donation.

Comment

Credit Card Info

This is a secure SSL encrypted payment.

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Donation Total: $700.00 One Time

$0 of $450,000 raised

Yom Yerushalayim World Event

$ Donation Amount:

I'd like to help cover the transaction fees of 0 for my donation.

Make this donation every

My Donation Is In Honor Of:

YES NO

HOW MANY

Enter Names Seperated by a Comma

Phone Number:

Street Address

City

State

Zip/Postal Code:

Email2

Select Payment Method

AMEX-MC-VISA-DISCOVER
Offline Payment
Stripe Checkout

Personal Info

First Name *

Last Name *

Email Address *

Make this an anonymous donation.

Comment

Credit Card Info

This is a secure SSL encrypted payment.

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Donation Total: $700.00 One Time

$0 of $250,000 raised

Yom Yerushalayim Celebration Appeal-do not use

$ Donation Amount:

I'd like to help cover the transaction fees of 0 for my donation.

Make this donation every

My Donation Is In Honor Of:

YES NO

HOW MANY

Enter Names Seperated by a Comma

Phone Number:

Street Address

City

State-copy

Zip/Postal Code:

Select Payment Method

AMEX-MC-VISA-DISCOVER
Offline Payment
Stripe Checkout

Personal Info

First Name *

Last Name *

Email Address *

Make this an anonymous donation.

Comment

Credit Card Info

This is a secure SSL encrypted payment.

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Donation Total: $700.00 One Time

$18 of $100,000 raised

Jerusalem World Appeal

$ Donation Amount:

Make this donation monthly

Select Payment Method

AMEX-MC-VISA-DISCOVER
Offline Payment
Stripe Checkout

Personal Info

First Name *

Last Name *

Email Address *

Comment

Phone

Credit Card Info

This is a secure SSL encrypted payment.

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

I'd like to help cover the transaction fees of 0 for my donation.

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Donation Total: $1,000.00 One Time

$406,115 of $400,000 raised

Yom Yerushalayim Celebration Appeal*

$ Donation Amount:

I'd like to help cover the transaction fees of 0 for my donation.

Make this donation every

My Donation Is In Honor Of:

YES NO

HOW MANY

Enter Names Separated by a Comma

Phone Number:

Street Address

City

State

Zip/Postal Code:

Select Payment Method

AMEX-MC-VISA-DISCOVER
Offline Payment
Stripe Checkout

Personal Info

First Name *

Last Name *

Email Address *

Make this an anonymous donation.

Comment

Credit Card Info

This is a secure SSL encrypted payment.

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Donation Total: $180.00 One Time

Ateret Cohanim Tours

Mobile Phone Users turn your phone to horizontal position

Name

Phone Number

Shield of Jerusalem (Minimum of 8 People Required) Old City Yemenite Village (minimum of 8 People Required) Both Shield of Jerusaslem and Old City Tours After Pesach We Will Contact You

First Tour Date (Subject to availability)

Second Tour Date (Subject to availability)

Third Tour Date (Subject to availability)

Morning Afternoon

I Saw Your Ad In

Children Under 13 Are Free

Donation Amount:

$ 30.00

Select Payment Method

AMEX-MC-VISA-DISCOVER
Offline Payment
Stripe Checkout

Personal Info

First Name *

Last Name *

Email Address *

Comment

Credit Card Info

This is a secure SSL encrypted payment.

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

I'd like to help cover the transaction fees of 0 for my donation.

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation recurring	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Donation Total: $30.00