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Donation Form

Use this form to help The Friends of Jewish Dokshitsy save our history. I will help save our Jewish heritage with a gift of:
o  $100      o  $250      o  $500      o  $1000    o  $ ____other

Name _________________________________________________________________
Address _______________________________________________________________
City ___________________ State ______ Zip/Post Code __________ Country_______
Phone: Home/work _______________________________ mobile  ______________________ skype________________
E-mail:_______________________________________________
May we list you as a contributor? o  Yes- Listing Preference ______________________  My donation is in memory / honor  of ______________________________________ Send acknowledgment card to: __________ _____________________________________________________
Mail a check with this form to: 

The Friends of Jewish Dokshitsy, Inc.

c/o Aaron Ginsburg

101 Chestnut St E1 DL

Foxboro, MA  USA                                                                                                                                                                                

*For a tax-deductible donation make check payable to:
The United States Commission For the Preservation of America's Heritage Abroad
    Be sure to write Dokshitsy Project on the check.

The Friends of Jewish Dokshitsy, Inc.
c/o Aaron Ginsburg              
101 Chestnut St E1 DL
Foxbor, MA 02035 USA                                                                                                                     
Phone:617-640-0606  e-mail: info@jewishdokshitsy.org  skype: aaron.ginsburg
homepage:   www.jewishdokshitsy.org



 
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