Mishkan T’filah Order Form

  Thank you for choosing to donate a Mishkan T’filah to Congregation Beth Elohim.
Your contribution is a lasting commitment to the Congregation and a thoughtful
gift for your friends and loved ones.

$36 per book

Book 1:

Choose a heading:    In Memory of           In Honor of                    Donated by

Write your inscription (please type or print clearly):

Book 2:

Choose a heading:    In Memory of           In Honor of                    Donated by

Write your inscription (please type or print clearly):

Book 3:

Choose a heading:    In Memory of           In Honor of                    Donated by

Write your inscription (please type or print clearly):

For example:

In Memory of Shirley Schwartz by her granddaughter Ann Schwartz
In Honor of the Bar Mitzvah of Bobby Fried by his parents Michael and Dana Fried

$36 per book x _____ books = _____ TOTAL
 

‪     ‪‪ ‪‪□ Check enclosed (made out to Congregation Beth Elohim)

‪     □ Credit Card

          Type:   Mastercard   Visa   Discover

          Card Number: ______________________________ Expiration date: _______

          Name as it appears on the card: ­______________________________

          Security code:________

 Please return this form to Congregation Beth Elohim, Attn: Mishkan T’filah,

274 Garfield Place, Brooklyn, NY 11215 or fax to 718-768-7414.