30th Annual Dinner

Personal Information

First Name *

Last Name *

Add Company Name

Address *

City *

State *

Zip / Postal *

Country *

Phone *

Cell

Email *

Payment Details

100% of your donation is processed directly through the organization's banking.

Rayze.it is a commission-free platform.

Organization Legal Name
Kollel Yisroel V'Shimshon of the West Side

Kollel Yisroel V'Shimshon of the West Side is a non-profit 501c3 organization.

Your card will be charged $

Card Number *

Exp. Month*

Exp. Year *

CVV *

Additional Information

TEXT OF AD:

Additional Comments:

Please mail a receipt to the address above

(in addition to the receipt I will receive via email).

Only enter this field if you were told to do so by a staff member.

Kollel Yisroel V'Shimshon of the West Side is a non-profit 501c3 organization.

Kollel Yisroel V'Shimshon of the West Side