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Matanot Levyonim Form

On Purim day, it is a mitzvah to give charity to at least two needy fellow Jews (this is known as matanot l'evyonim). Ideally, this should be done by giving money to people in your own community on Purim day.

Please join us and donate money to the poor this Purim. All donations will go to local charities and families in need.

Please donate in advance to provide enough time for funds to be distributed on Purim day.

Funds donated after Purim has finished will not be considered as matanot l'evyonim.
Full Name

First Name Last Name

Address*

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

E-mail*
Phone Number*

Area Code Phone Number
Amount*

$108$180$360$540$770$1000

Payment*

Credit Card

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

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