Please check appropriate category:

Congregation Weekend: Costs for Rabbi & Cantor, Oneg, Kiddush luncheon. $1800 ______

Clergy Weekend: Costs for Rabbi, Cantor $1200 ______
Shirley Lazarus Sunday Speaker full series: $1000 ______
Catered Saturday Kiddush Luncheon: $ 600 ______
Clergy Friday Shabbat: costs for: Rabbi & Cantor (fees and housing) $ 600 ______ Paypal Donation
Clergy Saturday Shabbat: costs for: Rabbi & Cantor (fees and housing) $ 600 ______
Co-sponsored Catered Saturday Kiddush Luncheon: $ 200 ______
Shirley Lazarus Sunday Speaker (one speaker): $ 100 ______
A Friday Oneg Shabbat: $ 72 ______
Other: $_____ ______

Donations Form

The Hebrew Congregation of Chautauqua

Name __________________________________________________

Home Address ___________________________________________

City ________________________________ State ____ Zip __________ Country ______

Home Phone ________________ Cell Phone _______________________

Email ______________________________ Donation Amount $_____________

This gift is in Honor/Memory/Celebration (please circle) of event/name
_____________________________________________

(For Donations >= $600), Kindly announce this donation at a service/talk. ________

Please send acknowledgment card to: Email:
_______________________________________________ _______________________
_______________________________________________
_______________________________________________

Donations Form

Checks should be made payable to:

The Hebrew Congregation of Chautauqua

P.O. Box 555

Chautauqua, NY 14722