Yes! I'm happy to support your calendar campaign and join the Community New Year Greeting Page!
Last Name   Donation: Please bill me Charge card below
First Name   Charge Amt. $36
Address   CC Type
City, State, Zip   Card #:
Phone   Exp. Date
         
Email   Comments

Name to Appear in Calendar   Notes:

Please include my family birthdays/yartzheits/annivesaries - $72.00 per name
* Please type names exactly as you'd like them to appear in our calendar and sumbit as soon as possible.
* Years are not required but will assist us in determining your Hebrew Birthday (Years will NOT be printed in the calendar).
Name #1

  Birthday #1: mm/dd/yyyy
Name #2   Birthday #2: mm/dd/yyyy
Name #3   Birthday #3: mm/dd/yyyy
Name #4   Yartzheit #4: mm/dd/yyyy
Name #5   Yartzheit #5: mm/dd/yyyy
Name #6   Anniversary #6: mm/dd/yyyy
         
Please add me to email and mailing list
Yes! I want to advertise in your calendar
We will call you to discuss.        
         
         
         
Thank You!