Donation Form

Sponsorship Opportunities / Donation Amount*

Sponsor a Pantry for a Month ($5,400)Sponsor a Pantry for a Week ($1,800)Sponsor a Pantry for a Day ($360)Sponsor an Apartment for a Week ($1,800)Sponsor an Apartment for a Day ($250)Sponsor Shabbos Meals for a Week ($500)Sponsor Meals for a Day ($180)Sponsor Patient Transportation for a Day ($100)Other

First Name:*
Last Name:*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
Purpose*
Notes / Specific Instructions

Total
Cover the Processing fees?*

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Total

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USD
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Payment Methods

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