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Torah - Aliya
Torah Special Dedication
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
Dedication
Aliya
Aliya
-
£ 360.00
Total
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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