To participate, please indicate whether you would like a letter, word, etc. and the name/s. Please use Hebrew name/s wherever possible.

NOTE: In order to preserve you privacy and security, this form is being processed by a secure web site.

1. All contributions are Tax-Deductible donations to RIAS who will send you the appropriate acknowledgment by postal mail.
2. Internet Billing graciously provided by "Web Spread Creations", that is the name that will be referenced on your credit-card statements.
3. For further information please call (216) 932-0291 or send postal  mail to:

   
   Semach Sedek
   RIAS Synagogue
   c/o Rabbi Z. Kazen
   1666 Glenmont Road
   Cleveland HTS, OH 44118

   
   

Please select one:

Letter - $18.00
Word - $50.00
Sentence - $100.00
Special Portion - $500.00
Sedra (Weekly Portion) - $1,000.00
 

First Name	Mother's Name	Last Name	Selection

Name:
Address:
City:	State/Province: Zip/Postal Code
Telephone:
Email Address:
Facsimile:
Method of Payment:	--- Choose One ---American ExpressVisa/Barclaycard/Carte BleueMaster Card/Access/IsracardDiscover/Novus
Card Number:
Exp. Date:	Name as it appears on card (Only if different than above):
Comments: