B'nai Tzedek Youth Philanthropy Program Application (1119-1)

Name

Grade in School

Birthdate

Teen Email

Address

ZIP

Teen Cell Number

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Synagogue Affiliation

Parent 1 Name

Parent 1 Email

Parent 1 Phone Number

Parent 2 Name

Parent 2 Email

Parent 2 Phone Number

Why are you establishing a fund and what types of organizations do you envision yourself making contributions?

Next Step: Making a contribution to establish the fund

Contribution being made below
I'm making a contribution by check or cash
I will make a grant from our Donor Advised Fund
I would like to make a wire transfer. Please contact me with instructions.

A minimum contribution of $500 is suggested to create a B'nai Tzedek Fund.

Amount to be donated by credit card on this transaction.

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