Contribution Form

Please print out, complete, enclose your check and return this form to:

Chevrei Tzedek Congregation

c/o Edward A. Myerberg Center

3101 Fallstaff Road, Baltimore, MD 21209

Attention: Treasurer

Name of Donor____________________________________________________________

Street Address_____________________________________________________________

City, State, Zip ____________________________________________________________

Phone _________________________ Email Address _____________________________

Amount of Contribution $ _______________________________

Optional Information:

In Honor of ______________________________________________________________

In Memory of _____________________________________________________________

Send Acknowledgement to: __________________________________________________

________________________________________________________________________

Your contribution is greatly appreciated. Thank you!

Chevrei Tzedek Congregation is recognized by the IRS as a 501(c)(3) organization

and your donation is tax-deductible to the fullest extent of the law.