Contribute to Ezer Yoldot Hamercazi

YES! I would like to help Ezer Yoldot Hamercazi bring joy and give assistance to the many needy families of Beitar Illit, Beit Shemesh and the settlements of Gush Etzion.

I understand that my donation will be used to help the needy in a modest and discreet fashion which preserves the dignity of the recipients.

Please provide the following information:

* required information

*** First Name**
*** Last Name**
*** Middle Initial**
Title
Organization
*** Street Address**
Address (cont.)
*** City**
*** State/Province**
*** Zip/Postal Code**
*Country
Work Phone
FAX
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Expiration:*

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Donation Amount:

All contributions are tax deductible, payable to Ezer Yoldot Hamercazi

Please copy and paste this form and send it as an email to ezeryoldot@012.net.il to make a donation or you can send it by fax or by mail

You may also call our office with your donation.

Israeli Mailing Address:	Ezer Yoldot Hamercazi	Phone:	972-2-580-0073
	P.O.Box 30500
	Beitar Illit 90500, Israel	Fax:	972-2-580-2191
U.S. Mailing Address:	Ezer Yoldot Hamercazi 1312 - 44th St. Suite #247
	Brooklyn , NY 11219

For those in need of a special Prayer request, please go to the next page and include this form with your donation

Contribute to Ezer Yoldot Hamercazi

Revised: ספטמבר 17, 2009