Form for Contribution by Check 2019

Form for Contribution by Check

Questions? Contact Us:
Office Hours: (718) 482-4134
Email: baruch@IsraelNationalNews.com

Donor Information
Donor Full Name *

First Name Last Name
Email Address *
Confirm Email Address *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number
This number is *

Cellular Home Work
Additional Phone Number:

Select a Contribution
Please select your contribution from the drop down box below and, if it applies to your situation, write in your donation amount for the option below

Founder’s Gift.............................$25,000

Master Builder’s Gift................$18,000

Builder’s Gift..........................$10,000

Diamond Gift ..........................................$5,000

Platinum Gift .........................................$3,600

Ruby Gift ...............................................$1,800

Emerald Gift ..............................................$1,000

Gold Gift ....................................................$500

Silver Gift ....................................................$300

Bronze Gift ....................................................$100

For Custom Donations...................................................................................

Custom Donation - We are/I am happy to support Bet El with a gift
Select your contribution category from the drop-down box
Confirm amount of check: *

Submit
Please select the name of the person who directed you to our website *

Eugen Gluck Ketzaleh Baruch Gordon Yaakov Harnik
Other:
Payment by Check -- Click to confirm *

Payment by check -- I have opted to pay by check and will mail it to Bet El Institutions c/o E. Gluck Corp. 6015 Little Neck Parkway Little Neck, NY 11362
Date

Month Day Year
Date
Should be Empty: