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2020 Book of Remembrance

Please complete the form below. This is a secure SSL transaction; credit card information is not retained.

Please include the names of my departed loved ones in the Temple Israel Book of Remembrance as follows:

Same names as last year
Same names as last year with the following additions:

List additional names for the Book of Remembrance:

New entry (names):

Remembered by (names):

Donations are traditionally given in multiples of $18 symbolizing chai (life).

		$36.00
		$54.00
		$72.00
		$108.00
		$144.00
		$250.00
		$500.00
		$1,000.00

Minimum credit card charge is $36..

Other amount: $

Please enter dollar amount

Please let us know how you'd like to receive your copy of the Book of Remembrance:

	PDF online
	No contact pick up from Temple Israel
	By mail (for home bound members only)

Choose one option.

Information Request:

If you would like information on having your loved ones name recited annually through our Wall of Honor or a Perpetual Memorial, click here.

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Online Fee:

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Checking Account

Name on the Account

Bank Name

Routing Number

Is usually located between the symbols on your check.

Account Number

Typically comes before the symbols. Its exact location and number of digits varies from bank to bank.

Confirm Account Number

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total:

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Please contact the Congregation Temple Israel Office at (324) 432-8050 if you have any questions or comments about the PAYQUIQ service or about payments.

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