To PRINT -- Select the File Menu / Print Command to print this form (or Ctrl - P)

DARCHEI NOAM SYNAGOGUE & COMMUNITY BUILDING
Building Fund Contribution

Please make checks payable to:

World Union for Progressive Judaism
633 Third Avenue
New York, NY 10017-6778
USA

(or in Canada)

Canadian Council for
Reform Judaism (CCRJ)
3845 Bathurst Street, Suite 301
Toronto, Ontario M3H 3N2
Canada

Contributor Contact Information

Full Name:

Address Line 1:

Address Line 2:

City, State, Zip:

Telephone:

Email:

Contribution Amount $ ____________

Specific Requests or Instructions:

___________________________________________________________________

You may designate your gift for a specific purpose, or as a general contribution to the building of the Darchei Noam Synagogue & Community Building.

Thank you,
from the families of Congregation Darchei Noam!