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THE DOWNSTAIRS SHUL

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Kiddush Sponsorship

Kiddush Sponsorship Form
Full Name*
First Name Last Name
E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Kiddush Date*

Month Day Year
Exclusive Sponsor

$700
Deluxe Sponsor (Includes add ons such as deli meats, chicken nuggets, salads and more!)

$1400
Co-Sponsor

$72$100$200$300$400
I am sponsoring In Honor/Memory of
Total sponsorship

$0.00

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number
Name on Card
Expiration Month	Expiration Year

All contributions to Chabad of The West Side are 100% tax deductible. Chabad of the West Side is an approved 501(c)3
#11-2735027
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