PLEDGE & PAYMENT | minimal-layout

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Name of Member

Email Address

Phone

Name of Member

Email Address

Phone

Mailing address & home address (home address is not used in our Membership Book )

Yahrtzeits

I/we would like to volunteer my/our time and talents: My/our comments:

I agree to have my contact information minus my home address in the Temple Membership Book

My/Our pledge for FY2021-22

Pledge paid quartery payments

Pledge paid in one payment

Pledge paid in monthly payments

Thank you for your support of Temple Har Shalom