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Torah - special Aliya
Torah Special Dedication - Special
First Name
*
Last Name
*
Email Address
*
Street Address
*
City
Postal Code
Phone
Hebrew Name
Example: David or דוד
Hebrew Names of Parents
Example: Ben Moshe v'Sarah or בן משה ושרה
Dedication
In memory of:
In honour of:
Name of loved one
Name of the parents
Anonymous
I would not like my name displayed on the website for the dedication
Please specify which book of the Torah you choose
Sefer
Bereishit
Shmot
Vayikra
Bamidbor
Dvarim
Please write the Parsha you chose
Parsha
Dedication
Chose the Aliya
*
Rishoan
Sheini
Shlishi
Revei
Chamishi
Shishi
Shabbat
Optional additional Donation towards the Torah
Total
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Use a new card for this payment. This card will not be saved unless it is for recurring charges.
Gift Aid Form
UK Tax Payer?
*
Yes, and for donations made in the past 4 years
Yes, today and in the future
No
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