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Bar/Bat Mitzvah Payment/ Sponsorship

Childs Name

First Name Last Name
Is the biological mother Jewish?*

Yes No
Is the biological father Jewish?*

Yes No
Any Conversions in the family?*

Yes No
If yes, please provide details:
Bar/Bat Mitzvah Date

Month Day Year
Costs:

$1800 includes tutoring and ceremony
Please charge me:

One time payment- $1800 8 recurring payments $225
Sponsorships are available:

Please send me a Scholarship application form. I would like to sponsor a Bar/Bat Mitzvah for another child for $1800.
I would like to contribute the following amount towards the Bar/Bat Mitzvah of a child:

$18 $50 $100 $500
Total

$0.00

Payment

Credit Card Check

Postal / Zip Code

Country

Should be Empty:

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