Legacy_PledgAgree Header

I/We wish to participate in the Inscribing Our Legacy Torah project
NAME(s) – Please list exactly as you wish to be recognized

NAME    

PHONE (day)    
PHONE (eve)     

E-MAIL   

SECTION ONE: DEDICATION OPPORTUNITIES (Please select one)

My/Our dedication is in the amount of:    view dedications    
For:

     In Memory of:

     In Honor of:   

                                                    

 

Baby Naming

 

Bar/Bat Mitzvah Birthday

 

Confirmation

 

Graduation

 

Engagement

 

Anniversary

 

 Recovery from Illness

 

Other

 

 

 

Please notify the following that a gift has been made:

NAME

ADDRESS

CITY STATE ZIP   

  I/We would like this gift to remain anonymous

Torah Inscription Opportunities
After submitting your pledge, please click on the proceed to registration link, to select a date and time for your
Torah Inscription Opportunities.
 

I/We cannot make a dedication at this time. Please contact me to let me know about my options for participating in a letter fill in

I/We will register online for letter fill-in time.
I/We will register at a later date. 

COMMENTS:

SIGNATURE         DATE    

InscribingLegacy_Logo1Please make checks payable to Shir Ami
Mail form & check to: Shir Ami, 101 Richboro Rd, Newtown, PA 18940 – Attn. Sefer Torah Project

Dedications of $1800 and under to be paid in full by May 31, 2010
Dedications of $1801 - $3600 to be paid in full by May 31, 2011
(monthly installments available)
Dedications of $3601 and higher to be paid in full by May 31, 2012 (monthly installments available)