Thank you for participating in our Kol Nidre Appeal. Donor Information First Name * Last Name * Address 1 * Address 2 City * State * Zip * Email * Phone All donors will be listed by level in a future edition of the Temple Bulletin. If you want your donation to be listed anonymously, please check the appropriate box below. I wish to remain anonymous I wish to remain anonymous. You may publish my name in the Bulletin. Donation Information Please choose one or more contribution levels from the list below or write in the amount you wish to donate: Contribution Levels Click to select your contribution$18 Chai Contributor$36 Double Chai Contributor$118 Friend$180 Chai Sponsor$250 Major Sponsor$360 Double Chai Sponsor$613 Mitzvah Sponsor$1,000 Supporter$1,500 Major Supporter$1,800 Chai Supporter$2,500 Builder$3,600 Chai Builder$5,000 Patron$7,500 Major Patron$10,000 Benefactor$15,000 Major Benefactor$18.000 Chai Benefactor$25,000 Guardian$36,000 Double Chai Guardian$54,000 Triple Chai Guardian$100,000 Visionary Amount of your choice $ If your company will match your donation, please write in your company name below: Company Name: CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.