Please complete and return this form to the Synagogue office one week prior to your event. All events listed below must be confirmed through AviGail Whiting at ext. 334. I want to make a donation in honor/memory of the following event. SponsorshipDonation Option For Event Kiddush Sponsorship Shabbat Flower Sponsorship Minyan Breakfast Sponsorship Event TypeBar/Bat MitzvahAufrufBaby NamingAnniversaryBirthdayYahrzeitBar/Bat MitzvahChild's NameParents’ NamesDate of EventAufrufBride's Name (English & Hebrew)Parents of BrideGroom’s Name (English & Hebrew)Parents of GroomDate of EventBaby NamingBaby's Name (English & Hebrew)Date of BirthMother's Name (English & Hebrew)Father's Name (English & Hebrew)AnniversaryWedding DateYears MarriedWife's Name (English & Hebrew)Husband's Name (English & Hebrew)BirthdayName (English & Hebrew)Date of BirthAgeYahrzeitObserved ByIn Memory OfRelationshipDonor's Name(s)Donor's Email(s)Donor's Address Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Total $0.00 Credit Card DiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Security Code Cardholder Name