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Har Shalom Donation Form - "Bill to Account" ONLY

PLEASE LOGIN TO ENSURE PROPER ASSOCIATION OF PAYMENT TO YOUR ACCOUNT. Enter the name on your Har Shalom Account in the field indicated (below). 

NOTE: This form should ONLY be used for Donations you wish to "Bill to Account." All other contributions should be made at www.HarShalom.org/payment.php

DONOR INFORMATION
(Will be used for confirmation)
All donations will appear in The Tablet (our bi-monthly newsletter) unless requested otherwise.

DONATION & DEDICATION INFORMATION
Please include Name, relationship, special occasion, etc.

Example: In Memory of Joan (mother), On the occasion of Bob's 60th Birthday, etc.

PLEASE ATTRIBUTE THIS DONATION TO...
Please Select One

Amount
Click HERE for full descriptions of Har Shalom Funds

Sat, May 21 2022 20 Iyyar 5782