Ner Tamid Application

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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:

Amount

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

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:

Temple Representative:

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 TrustLife InsuranceRetirement Plan/IRAOther (describe below)

I (We) intend to leave of my (our) estate/inheritable assets:

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Thu, November 21 2024 20 Cheshvan 5785