Avos U’Banim

Name*
First Last
Sons' Names
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Amount*
- Membership- $36
- Activities Fee- $18
- Sponsor learning and prizes for one Motzlei Shabbos- $100
- Sponsor Melave Malka (Bronze level) - $180
- Sponsor Melave Malka (Silver level)- $250
- Sponsor Melava Malka (Gold level) - $360
- Other
Amount
This donation is dedicated:

Dedicate a donation in honor of or in memory of a loved one or in honor of a special occasion.
Note
Help us cover our processing fees by donating an additional 3%.
- Sure - Count me in!
- Sorry - Not this time.
Additional 3%:
Price: $0.00
Total
$0.00
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