Donation Form Single

Pour la version française, veuillez cliquer ici

* Required Fields

Donation Information

Amount

Categories on our donor board:

Tzadikim - $360+
Ambassadors - $1,000+
Patrons - $2,500+
Benefactors - $5,000+
Founders - $10,000+
Leaders - $25,000+
Governors - $50,000+
Visionaries - $100,000+

For more information please contact Monica Mendel Bensoussan,

Director of Development, at 514-739-2291 Ext. 237 or [email protected]

Type of Donation

One Time Donation
Recurring Donation

Frequency

I would like this gift
to be directed to:

Other, please specify

Any special instructions
we should know?

Recognition
As a donor I wish to have my name recognize as
I would like my name to remain anonymous

Contact Information
Title
* First Name
* Last Name
Company Name
* Affiliation:
Current Parent
Incoming Parent
Past Parent
Grand Parent
Faculty / Staff
Friend of the School
Alumni
Alumni Year

* Address
Address 2
* City
* Province
* Postal Code
Home Phone
* Cell Phone
Work Phone
* Email

Credit Card Information
Card Holder Name

Card Account Number
Expiration Date
* Security Code The 3 or 4 digit Security Code (CVV2) can be found on the back of your credit card. For American Express, the Security Code (CID) can be found on the front of the card.

Billing Address
Same As Above
* Address
City
Province
* Postal Code
Email

Privacy Policy
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Contact Us
Talmud Torah | Herzliah •• 5475 Ave Mountain Sights, Montreal QC H3W 2Y8 •• Monica Mendel Bensoussan 514-739-2291 ext 237 or [email protected]