Please fill out form below, cut out and return in enclosed envelope with your donation
Ad Olam Synagogue Without Walls P.O. Box 5701 Eugene, OR 97405 (541) 344-7945
Ad Olam High Holy Days—2009 (5770)
Rosh Hashanah - September 18-19 — Yom Kippur September 27-28
Names: __________________________________________________________________________
Address: _________________________________________________________________________
Telephone: ______________________ Email: ________________________________________
I would like Rabbi Hanan to these names read at the Memorial Service: _________________________________________
Suggested tax deductible contribution - $25 per Service for each adult (see p.2)
Total number of major Services (count each adult) _____ X _____ ($25/Service) = $______
£ “Fertilizing the Tree” contribution (see above) $______
£ Additional contribution to Ad Olam’s general account for day to day operational expenses $______
£ I am making partial work trade or am interested in volunteering Total enclosed $_______
I am interested in:
Winter Film Series___ Tales of the Hasidim ___ Shabbat Shalom in the Home: hosting___ inquiry____
Ad Olam
Synagogue Without Walls P.O. Box 5701 Eugene, OR 97405 (541) 344-7945
www.adolam.org