Honoring Loved Ones and Friends at HAMC

The Simcha Tree/Holocaust Tree/Tributes

Please complete the information below and forward to the HAMC office or Naomi Bacharach.

Your Name:_______________________________________________
Daytime Phone:____________________________________________

___ Simcha Tree                        ___ Holocaust Tree

___Bronze Leaf: $150    ___Silver Leaf: $175    ___Gold Leaf: $200    ___Acorn: $250    ___Stone: $500

Inscription: You are allotted 22 characters per line, including punctuation and spaces.  Please print your copy below.  Your inscription will appear exactly as indicated below.

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Date  

Tributes:

Standard Card: $18        ___Silver Card: $54        ___Gold Card: $78        ___Machzor/Siddur $54

___In Honor of _________________________________________________________________

___In Memory of________________________________________________________________

Please make checks payable to HAMC (if purchasing more than one, you may combine into one check) and send to:  HAMC, Development Office, 146 Dover Chester Road, Randolph, NJ  07869. Please note, tributes cannot be processed until payment is received.

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