Yes!  I'm happy to support your calendar campaign and join the Community New Year Greeting Page!
Last Name   Donation: Please bill me Charge card below
First Name   Charge Amt.  $50  Other amount 
Address   CC Type   
City, State, Zip   Card #:
Phone   Exp. Date      
Email   3/4 Digit Code

 Name to Appear in Calendar    

Billing Zip Code 

Notes:   


  Please include my family birthdays/yartzheits/annivesaries - $50.00 per name
* Please type names exactly as you'd like them to appear in our calendar and submit by Tuesday ,  August 1st. 
* Years are not required but will assist us in determining your Hebrew Birthday (Years will NOT be printed in the calendar).
Name #1

  Birthday #1:   mm/dd/yyyy
Name #2   Birthday #2:    mm/dd/yyyy
Name #3   Birthday #3:    mm/dd/yyyy
Name #4   Yartzheit #4:    mm/dd/yyyy
Name #5   Yartzheit #5:    mm/dd/yyyy
Name #6   Anniversary #6:    mm/dd/yyyy
         
 Please add me to email and mailing list 
 Yes!  I want to advertise in your calendar
We will call you to discuss.