Rabbi Yaacov Haber

Mara D'asra

Quick Donate

Donation Level

 

*Frequency

*Installments

*# Installments

 

Please enter between 2 and 36 installments

*Send me a tax receipt

*Currency

*Amount Choices

*Amount Choices

*Your Amount Choice

 USD

Project

Personal Information

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*First Name

*Last Name

Name for Receipt

 

Use when you want your tax receipt issued to a name other than your name.

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*City

*State / Province

 

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*Country

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*Address to use on Receipt

Dedicate Donation to A Loved One

 

*Dedication Type

*Dedicated To

First Name Last Name

*Their Email Address

*On the occasion of

*In appreciation of

Life Milestone

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*Show amount in email?

Personalized Greeting

Send a copy

 

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Additional Recipients

First Name Last Name Email
1
2
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Payment Information

*Credit Card Type

 

We need this in order to issue your Seif 46 receipt.

*Credit Card #

*Last 4 digits of your Credit Card

*3- or 4-digit security code

*Expiration

   

*Cardholder First Name

*Cardholder Last Name

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