Registration by Donor Advised Fund, Check, Stock Transfer and Cryptocurrency

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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
Cryptocurrency

Sharsheret's TAX ID is 13-4198529

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

*With a gift 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 June 30, 2023 will be recognized in the program listing.
Contributions excluding the ticket value of $100 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 gift is in honor of:

My Gift

My gift is in memory of Sharsheret Founder, Rochelle Shoretz A"H.
My gift is in memory of Linda Pulitzer A"H.
My gift will be matched by my employer's matching gift program.
I am interested in learning more about Sharsheret’s Legacy Giving program.