PAYQUIQ ONLINE :: The Faster Smarter Way to Pay

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

Congregation Temple Israel will process the donation, send you an acknowledgement and notify the indicated person(s) of your donation.

Dedicate a Prayerbook

You can dedicate a High Holiday or Shabbat prayerbook with a tribute gift of $54 or more. This is a beautiful way to honor or memorialize a loved one. A book plate will be inscribed and placed in each book dedicated.
(Note: Prayerbook tribute donations will be placed in the Helen and Myron Schwartz Ark and Prayerbook Fund.)

Quantity of Mishkan HaNefesh (High Holiday 2 vol. set Prayerbooks) to Dedicate

Quantity of Mishkan T'Filah (Shabbat Prayerbooks) to Dedicate

Dedicated

	In Honor Of
	In Memory Of
	In Appreciation Of
	Other

Name(s)/Dedication copy as you'd like it listed in the dedicated prayerbook:

Dedicated by:

Please send a notification of my prayerbook dedication to (optional):

First Name

Last Name

Street Address

City/State/Zip

Other Instructions

Please scroll down to "Account Details" unless you are making other Tribute donations below.

Make a Tribute or Memorial Donation

You can make up to three Tribute donations per transaction with this form. Have more than three? After you submit your first three, refresh the page and fill out this form with your next round of Tributes.

Donation Amount

		$18.00
		$36.00
		$54.00
		$108.00

$18 is the suggested minimum donation per Tribute

Other Donation Amount $

Tell us how you would like your donation to be used by selecting from ONE of the following four categories OR select the checkbox to allocate your donation to where it is needed most

Please use my donation where it is needed most

Yes

Rabbis' Discretionary Fund

Funds Supporting Temple Life

Funds Supporting Temple Operations

Funds Supporting Youth & Education

Funds Supporting Seniors

(For a list of TI's Tribute and Endowment funds, click here.)

Dedicated

	In Honor Of
	In Memory Of
	In Appreciation Of
	Other

Please enter the name of the person you're tributing:

Please send a notification of my tribute donation to (optional; gift amt not included):

First Name

Last Name

Email Address

Street Address

City/State/Zip

Please list the name(s) of donors as you'd like them to be listed in the acknowledgement and notification.

Donor's Full Name

Street Address

City/State/Zip

Phone Number

Please make my donation anonymous.

Other Instructions

Make an Second Tribute or Memorial Donation (optional)

Donation Amount

		$18.00
		$36.00
		$54.00
		$108.00

$18 is the suggested minimum donation per Tribute

Other Donation Amount $

Tell us how you would like your donation to be used by selecting from ONE of the following four categories OR select the checkbox to allocate your donation to where it is needed most

Please use my donation where it is needed most

Yes

Rabbis' Discretionary Fund

Funds Supporting Temple Life

Funds Supporting Temple Operations

Funds Supporting Youth & Education

Funds Supporting Seniors

(For a list of TI's Tribute and Endowment funds, click here.)

Dedicated

	In Honor Of
	In Memory Of
	In Appreciation Of
	Other

Please enter the name of the person you're tributing:

Please send a notification of my tribute donation to (optional; gift amt not included):

First Name

Last Name

Email Address

Street Address

City/State/Zip

Please list the name(s) of donors as you'd like them to be listed in the acknowledgement and notification.

Donor's Full Name

Street Address

City/State/Zip

Phone

Please make my donation anonymous.

Other Instructions

Make a Third Tribute or Memorial Donation (optional)

Donation Amount

		$18.00
		$36.00
		$54.00
		$108.00

$18 is the suggested minimum donation per Tribute

Other Donation Amount $

Tell us how you would like your donation to be used by selecting from ONE of the following four categories OR select the checkbox to allocate your donation to where it is needed most

Please use my donation where it is needed most

Yes

Rabbis' Discretionary Fund

Funds Supporting Temple Life

Funds Supporting Temple Operations

Funds Supporting Youth & Education

Funds Supporting Seniors

(For a list of TI's Tribute and Endowment funds, click here.)

Dedicated

	In Honor Of
	In Memory Of
	In Appreciation Of
	Other

Please enter the name of the person you're tributing:

Please send a notification of my tribute donation to (optional; gift amt not included):

First Name

Last Name

Email Address

Street Address

City/State/Zip

Please list the name(s) of donors as you'd like them to be listed in the acknowledgement and notification.

Donor's Full Name

Street Address

City/State/Zip

Phone Number

Please make my donation anonymous.

Other Instructions

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

Comments

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

Total: