Minyan Club 2022 - 2023 | elstree.chabadsuite.net

Donation amount *

Family sponsorship - per annum - £ 600.00

Family sponsorship - per month (select and tick the below box) - £ 50.00

Single sponsorship- per annum - £ 300.00

Single sponsorship- per month (select and tick the below box) - £ 25.00

Total Amount

I want to contribute this amount every month

Minyan Club

First Name *

Last Name *

Email Address *

Phone

Street Address

City

Postal Code

Spouse Last Name (if different)

Birth date

Spouse birth date

Wedding anniversary

Sponsorship type (please select one)

Family

Single

Family Halachic status (please select one)

Kohen

Levi

Yisrael

Hebrew name (no parent name)

Spouse Hebrew name (no parent name)

Father's Hebrew name

Spouse father's Hebrew name

Mother's Hebrew name

Spouse mother's Hebrew name

Children?

Yes

Children's English and Hebrew names and English date of birth

Yahrzeits- Full English name of deceased

Yahrzeits- Full Hebrew name of deceased

Yahrzeits English date of passing

Yahrzeits- Hebrew date of passing

Yahrzeits- Name of person observing

Yahrzeits- Relationship to observer

Gift Aid Form

UK Tax Payer? *

Yes, and for donations made in the past 4 years Yes, today and in the future No