5782 Annual Appeal - Shomrim - Form - Congregation Beth Shalom

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5782 Annual Appeal - Shomrim

* Last Name

* First Name

Phone Number

* Email

* Please indicate the amount of your generous commitment to the Annual Appeal at the Shomrim level ($3600 or more)

You may include my name in the Shomrim acknowledgement listing

YesNo

Please keep my pledge anonymous

Please keep my pledge anonymous

Total Amount Due:

Sat, October 23 2021 17 Cheshvan 5782

Congregation Beth Shalom

1325 S. Belcher Road

Clearwater, Florida 33764

727-531-1418

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