YAD Renewal Fundraising Initiative

Donor Information

First Name

Last Name

Address

City

Province/State

Please Specify

Postal Code

Pledge Details

Pledge Amount

Please specify

CDN

Preferred Payment Plan

Number of Years

Payment duration

Please list your name(s) as you would like them to appear in any public recognition or write ‘anon’ if the gift is anonymous.

Donations of $1000 and above will also be recognized on the Temple Renewal Project Donor Wall

Payment Information

Payment Amount

CDN

Payment Amount

CDN

Payment Method

Credit Card

*Payment will commence once this form is submitted

First Name

Last Name

Credit Card Number

Visa or Mastercard

Expiry Month

Expiry Year

*Billing Address must match the address listed above

Cheque

Please send cheques to:

Holy Blossom Temple ATTN: Anna

1950 Bathurst Street

Toronto, ON M5P 2K9

Cash

Please contact Anna Gurevich at agurevich@holyblossom.org, 416-389-3291 ext. 227

Tax Receipting

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