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Day Dedications 5778 (2017-18) form

Day Dedications 5778 (2017-18) form

B"H

Jewish Art Calendar 5778 (2017-18) 
Day Dedications

Dear Friend,

The Jewish Art Calendar for the coming year, 5778 (2017-18) is now being prepared.

You now have the unique opportunity to highlight a birthday, yartzeit or special day in the calendar and dedicate that date in honor or in memory of a loved one.

The Day Dedications will be marked in the calendar on the appropriate day. The cost for the first dedication is $54; additional dedications are $36 each.

Please use the form below. If you have received a letter with personalized date information, you can simply check off the box below and we will use the information on record.

The deadline for dedications is Wednesday July 12, 2017.

Thank you very much for your support,

Rabbi Sholom Raichik

 

For Advertising in the calendar, please click here.

 

Yes, I would like to dedicate the following day[s] in the Jewish Art Calendar: 

  Your Information:
Name
Address
City, State
Zip
Daytime Phone
Email


Check here if you participated in the previous Jewish Art Calendar and would like to list those dedications. You need not list their names below. We have the information on file.
 

To add names to the Calendar, please provide the information here. If we have the date information on file, simply fill in the person's name and check the box. We'll do the rest.

Day Dedication Information
  Name
(English and/or Hebrew)
and last name
date info on file? occasion
(yartzeit, birthday, etc.)

date

convert to Hebrew date?
Person #1
Person #2
Person #3

  

Comment Box

  

Cost of Dedications: The first dedication is $54. Additional dedications are $36.  

  Payment Information:
Method of Payment


use credit card on file
provide credit card below
 PayPal
 will mail check

paypal.jpg For Paypal, first submit this form. Then come back and click the icon on the left. Please indicate on Paypal the purpose of your payment.

Credit Card #

Exp. Date (MM/YY)
Security Code
Amount of payment

 

 

 

 

 

 

 

 

 

 

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