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SOCIAL ACTION APPEAL FOR ASSISTANCE

Due to the large number of requests the Temple receives, we have created a process to review the information. The Social Action Committee only meets four to six times a year but will review your information at our next meeting.

Please Answer the Following Questions to help us better determine how TE Cares of Temple Emanuel can be of help.

Name of Organization:

Short Description of Organization:

Description of Request:

Please indicate why you are asking the Temple Emanuel Social Action Committee (TE Cares) for Assistance:

Please indicate the category of this request:

Donation

Requested Donation Amount:

Volunteers

Roles for Volunteers

Number of Volunteers Needed

Publicity for Events

Please send a flyer to socialaction@templeemanuel.net

What:

When:

Where:

Audience:

Cost:

Co-Sponsorship Opportunity

What would you like the Social Action Committee’s role to be?

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total:

SOCIAL ACTION APPEAL FOR ASSISTANCE