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Ner Tamid Application
Ner Tamid Application
Ner Tamid Application
This form serves as my (our) notice that I (we) have chosen to join the Ner Tamid Society of Temple Anshe Hesed. This act reflects my (our) deep commitment to preserving our religious and cultural heritage for future generations. Like those individuals that have come before, I (we) wish to continue this beautiful tradition, ensuring the financial security of Temple Anshe Hesed. L'Dor V'Dor.
Ner Tamid Society gifts will be invested in the Endowment Fund. If it is your preference to designate a specific interest or fund, please list it below. As priorities change over time, Temple Anshe Hesed may need to alter the donation designation; however, the initial intent of this form will be followed as closely as possible. Donation Designation:
Donor Recognition:
To inspire and encourage other, I (we) permit our names to be recognized and listed as indicated below.
I (we) wish to remain anonymous.
I (we) permit our names to be recognized and listed as:
First Name
Last Name
Address Line 1
Address Line 2
City
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
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New York
North Carolina
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Ohio
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Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Email:
My name as entered below shall be substituted for my signature. (First Signer)
Today's Date:
My name as entered below shall be substituted for my signature. (Secondary Signer, if applicable)
Today's Date:
Executor / Attorney / Family Contact:
Additional Notes:
If you have any questions, please contact the Temple Office at office@taherie.org or (814) 454-2426.
OPTIONAL INFORMATION:
Donation Terms: Providing the following information will allow Temple Anshe Hesed to be best prepared to receive your donation. The donation will be completed through:
Will or Trust
Life Insurance
Retirement Plan/IRA
Other (describe below)
I (We) intend to leave of my (our) estate/inheritable assets:
$:
Or
%:
Update this content.
Sat, December 21 2024 20 Kislev 5785