If you are interested in making a donation to Congregation Beth Israel, please provide us with the information below. Upon receipt of your email, we will contact you. If you prefer to print out this form, fill it out by hand and submit it with your donation, feel free to do so. Rest assured that your information will not be published or sold. We value and respect your privacy. Thank you for your generosity.

Donor Information
Donation Amount	$ .00
Name
Permanent Address
City
State
Zip
Phone
Alternate Address
City
State
Zip
Phone
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Please choose from the following ways to give:
General Fund
Freeman Family Fund (unrestricted)
Marie Freund Education Fund     (restricted to education)
Rabbi's Discretionary Fund
Rabbi Allan L. Smith Scholarship Fund    (restricted to Jewish education
Reserve Fund     (Capital Repairs and Replacements)
Shair Memorial Fund     (restricted to building and grounds)
Silberlicht/Newman Fund     (restricted to Judaica)
Skier/Schindler Eternal Light Fund    (unrestricted)
The Jane Fund (restricted to music)
In Honor of:
Name
In Memory of:
Name
Please notify:
Name
Permanent Address
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Zip

Checks can be made payable to:
Congregation Beth Israel
615 Court Street, Honesdale, PA 18431

Use this text box to enter any comments or questions you may have about your donation or the recognition process.