Donation Form Mi cheberah BLESSING

Mi Cheberach Blessing - מי שברך כל השנה

Reserve a blessing at the opening of the Heckal and the release of the Sefer Torah throughout the year

As a contributor to Hahaim Vehashalom we make sure your donation goes directly to supporting our cause.
$100 per month $1200 for the year

Donation Amount:

$ 1,200

You have chosen to donate $1,200 yearly.

Make this donation recurring for months

Who's giving today?

We’ll never share this information with anyone.

Personal Info

First Name *

Last Name *

Is this donation on behalf of a company?

No
Yes

Company Name

Email Address *

Make this an anonymous donation.

Comment

Phone No. *

Dedicate this Donation

Yes, please
No, thank you

Dedication Type

Leilouy Nishmat - לעילוי נשמת
Refua shelema - רפואה שלמה
Hatslaha - הצלחה

Honoree Details

First Name *

Last Name

Would you like us to notify anyone of your donation?

Yes, mail a card
No thanks

Notification Details

First Name *

Last Name

Country *

Address Line 1 *

Address Line 2

City *

State *

Zip/Postal Code *

Select Payment Method

Donate with Credit card
Donate with Stripe - Checkout
Donate with Bill me
Donate with Authorize.Net - eCheck
Donate with PayPal or Venmo

Credit Card Info

This is a secure SSL encrypted payment.

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Terms

Show Terms

Agree to terms?

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation	One time
Donation Total

Subscribe to our newsletter

Donation Total: $1,200 Yearly