Please complete and return this form to the Synagogue office one week prior to your event. All events listed below must be confirmed through AviGail Whiting at ext. 334. I want to make a donation in honor/memory of the following event. SponsorshipDonation Option For Event Kiddush Sponsorship Shabbat Flower Sponsorship Minyan Breakfast Sponsorship Event Type Bar/Bat Mitzvah Aufruf Baby Naming Anniversary Birthday Yahrzeit Bar/Bat MitzvahChild's Name Parentsâ Names Date of EventAufrufBride's Name (English & Hebrew) Parents of Bride Groomâs Name (English & Hebrew) Parents of Groom Date of EventBaby NamingBaby's Name (English & Hebrew) Date of BirthMother's Name (English & Hebrew) Father's Name (English & Hebrew) AnniversaryWedding DateYears MarriedWife's Name (English & Hebrew) Husband's Name (English & Hebrew) BirthdayName (English & Hebrew) Date of BirthAgeYahrzeitObserved By In Memory Of Relationship Donor's Name(s) Donor's Email(s) Donor's Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Total $0.00 Credit Card DiscoverMasterCardVisaSupported Credit Cards: Discover, MasterCard, Visa Card Number Expiration Date Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name