Calendar Campaign 2022 - Special Dates Form

Our Annual CZK wall calendar is in the works! 
Though we are not sure what our classes and activities will look like this year, we are still a congregation and a community, and our calendar reflects that!

Please be a part of this year's calendar! It will be both beautiful and useful, serving our community year-round, with important dates, Shabbos and Holiday information, and beautiful graphics.

We would love to include your birthday, family Yahrzeits, and anniversaries.

To support our work, we request a small donation for these dedications 
($18.00 per date, $36 per three dates or $100 for ten dates). 

Each dedication is noted on the actual date in the calendar that it will be celebrated.

BIRTHDAY'S:

  Month/Day/Year Full Name
1.
2.
3.
4.
5.

YARTZEITS:

  Month/Day/Year Full name
1.
2.
3.
4.
5.

ANNIVERSARY:

 

Title*
First Name*
Last Name*
Address Line 1*
Address Line 2
City*
Province
Postal Code*
Country*
Phone

This is my  home  business address.
How many dedications  
Card Type*
Card Number*
Expiration Date*
CVV Security Code
   
 
   
Acknowledgement  
Email Address*
Reconfirm Email Address*