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Synagogue Our Synagogue

Prayer Book Dedication

Yes! I'd like to participate in the Prayer Book Dedication Drive!
Your Name*
First Name Last Name

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*
E-mail
Sponsorship: $50 per prayer book
Minimum of 6 books
How many Prayer books?*
Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Dedication Text
In Memory/In Honor of: *
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