Flowers & Friends Fundraiser Donation Form

* Name

* Email Address

* Phone Number

* Giving Level

* Insert how you'd like your donation to be acknowledged (sample formats: Jack & Jill Cohen; The Cohen Family; Acme on the Hill)

Donation Amount

If you have a website to which you'd like us to link your business name, please provide the URL

* List of names who will be attending

If you would like to give back any of your allotted tickets, please indicate the number here

By checking the above box, I attest that I have read and will be fully vaccinated and in compliance with Hill Havurah's Updated COVID Policy when I attend this in-person event. Furthermore, I attest that the preceding is true for any other adult(s) who attend(s) this event with me.

After hitting submit, if you already have a ShulCloud/hillhavurah.org account, you'll be taken to a page where you can choose to pay via eCheck for no processing fee or credit card for a small fee. If you don't have a ShulCloud/hillhavurah.org account and want to pay via eCheck, please email Alan at alan.shusterman@hillhavurah.org; you can pay by credit card right now.

If you want to pay by paper check, you can mail it to the attention of Alan Shusterman at the below address. And please follow up with an email to Alan at alan.shusterman@hillhavurah.org.

Hill Havurah
212 East Capitol Street, NE
Washington, DC 20003

If you have any question, feel free to email Alan at alan.shusterman@hillhavurah.org.

Mon, June 23 2025 27 Sivan 5785

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