Midwest Benefit DAF Form

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Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Cell Phone*

My gift will be made by:*

Check
Communal Fund
Stock Transfer

Our Sharsheret TAX ID is 13-4198529

Your donation will help support Sharsheret's programs and services:*

Take advantage of Additional Benefits and become an Event Sponsor: link.sharsheret.org/Sponsorship24.
*With a donation of $5,000 and above, we welcome you to Sharsheret’s exclusive Jewel Circle. Learn more at Sharsheret.org/jewelcircle
**All gifts of $613 or more received before May 23, 2024 will be recognized in the program listing.
Contributions excluding the ticket value of $90 per person are tax deductible.

I am attending:*

Yes
No

Number of Attendees

Names of Attendees

Please list my name in the program as (For gifts of $613 or more):

My contribution is in honor of:

Select All
Leah Jones
Rachel and Richard Silverman

My gift is in honor of (other):

My gift is in memory of:

Check here to make your gift in memory of Sharsheret’s Founder Rochelle Shoretz A”H.
Please contact me for more information about my employer’s matching gift program.
I am interested in learning more about Sharsheret’s Legacy Giving program.

Midwest Benefit DAF Form

Midwest Benefit 2024