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Hadassah Certificates

  Forms can also be downloaded here: certificate order forms

HADASSAH SOUTHERN NEW JERSEY
CERTIFICATE ORDER FORM 

Order By:        Chapter Name            _________________________

                        Date                            _________________________

                        Certificates Chair        _________________________

                        Telephone Number     _________________________

                        Address                       _________________________

                                                            _________________________

Please print and completely fill out the form

*Please note these certificates should not be sold for less then Donation Amount indicated. Higher donation amount certificates are also available through the Region Office.

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CERTIFICATE DESCRIPTION

DONATION AMOUNT

COST

PRICE

 

“In Honor of” Red

$10.00

$2.00

 

 

“In Memory of” Blue

$10.00

$2.00

 

 

All Purpose – Blue Hand

$10.00

$2.00

 

 

All Purpose Green Trees

$18.00

$2.00

 

 

Chai

$18.00

$2.00

 

 

Youth Aliyah Certificate

$18.00

$2.00

 

 

Young Judaea

$18.00

$2.00

 

 

New Baby

$25.00

$2.00

 

 

“In Honor of” Gold                 

$25.00

$2.00

 

 

“In Memory of” Silver

$25.00

$3.00

 

 

Women Cancer Research

$36.00 *

$3.00

 

 

Yisrael Certificate

$36.00 *

$3.00

 

 

Cancer Research

$50.00 *

$3.00

 

 

Medical Research

$50.00 *

$3.00

 

 

Stained Glass Certificate

$50.00 *

$3.00

 

 

 

Brick by Brick –Tower Campaign

 

$18.00

 

$2.00

 

                                                                                                                        Office Use Only

 

                      Sub Total     $

 

                      Shipping      $

 

                      Total            $

 Mail order form to: 
    
HADASSAH SOUTHERN NEW JERSEY REGION
3301 Highway 66, Building C
Neptune, NJ 07753
Phone: 732-643-1100 / Fax:   732-643-1199 
E-mail: Region.SouthernNJ@Hadassah.org

DO NOT SEND A CHECK WITH YOUR ORDER.
YOU WILL BE BILLED WITH YOUR ORDER AT TIME OF SHIPPING.

All certificate orders are sent via  Priority Mail 
Make checks payable to: HADASSAH SOUTHERN NEW JERSEY REGION



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