In Honor/In Memory – Lake Success Jewish Center

Mourning, Celebrating, Appreciating

If you wish to make a contribution in honor, or in memorial of someone or something fill out the form below. You can than pay with Visa, MasterCard , American Express or Pay Pal on our payment page or call our office or send in a check.

Acknowledgement- Amounts are not disclosed

Enter

I want this contribution listed in the bulletin

I DO NOT want this contribution acknowledged in the bulletin

My Contribution is:

In Honor of

in Memory of

in Appreciation of

Name of Person (to be recognized)

In recognition of

Comment

Name:

First

Last

Your Name

Address:

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

E-mail:

Send Acknowledgement Card To

Name1:

First

Last

Address1:

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Amount:

Your info is submitted to the office when you hit submit. You will be taken to PayPal to pay online with Visa, MasterCard, American Express or your PayPal account. If you do not want to pay online, you can call the office at 516-466-0569 to pay by phone. We are happy to receive you check in the mail as well.

THANK YOU

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