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Community Appeal

First Name

Last Name

How would you like us to acknowledge your donation?

i.e. The Cosmo Family, Joe & Melinda Cosmo ....

Please indicate a donation amount

$180$72$36$360Mitzvah Member $500Chai Member $1,800Other amount (please indicate amount)

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Total

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Wed, November 20 2019 22 Cheshvan 5780

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