The Jerusalem Foundation of Canada
5165 Queen Mary Road, #510
Montreal, Quebec
Canada H3W 1X7
Tel: (514)484-1289
mberger@jerusalemfoundation.ca
Title:
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Account Type: Individual
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Address:
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Email:
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Designation
Culture
Education
50th Celebrations
Inukshuk
Jerusalem Marathon
Shared Living
Other (Please specify)

Donation Amount
$50 $500 $10,000
$100 $1,000 $
$250 $4,000
Frequency
Amount in CAD $
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CVV2: CVV2 Information CVV2 informarion
Expiration Date: mm/yyyy

If you would like to make your donation in honor of a special person or
occasion, or in memory of a loved one, please include detailed
information below.

My gift is: Memory of
Honor of
Individual's Name
Please mail acknowledgement card to:
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of Canada.
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