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Tribute Bookplate Order Form

HHD & Shabbat Tribute Bookplate Order Form

For $18 you can purchase Tribute Bookplates to honor and celebrate your loved ones! Please complete this form to order your tribute bookplates.

Questions? Contact Kathy Schindel at schindelke@aol.com or (541) 617-7018.
* indicates a required field
Donor Name(s):*

(Names to appear on Bookplate as making the tribute)
Email*

(Email for confirmation of this order)
Phone*
(Phone number contact if there are questions about the order)
How many Bookplates do you wish to order ($18 per each) Quantity
Price:
Bookplate Quantity:*
Please enter a number greater than or equal to 1.
Bookplate text information: Choose a standard tribute text (In Memory of, In Honor of, or In Celebration of) OR create your own.
Tribute 1*
Tribute 1 Name(s)*
(Enter names that go with Tribute 1 text selected above)
Tribute 1 free form text*
(Enter your bookplate message)
In which prayer book? 1*
Select one
Tribute 2*
Tribute 2 Name(s)*
(Enter names that go with Tribute 2 text selected above)
Tribute 2 free form text*
(Enter your bookplate message)
In which prayer book? 2*
Select one
Tribute 3*
Tribute 3 Name(s)*
(Enter names that go with Tribute 3 text selected above)
Tribute 3 free form text*
(Enter your bookplate message)
In which prayer book? 3*
Select one
Tribute 4*
Tribute 4 Name(s)*
(Enter names that go with Tribute 4 text selected above)
Tribute 4 free form text*
(Enter your bookplate message)
In which prayer book? 4*
Select one
NOTE: When ordering more than four (4) bookplates, please submit the additional names and their tribute text via email to the TBT Treasurer at TBTtreasurer@gmail.com.
TOTAL DONATION AMOUNT
$0.00
Method of Payment (defaulted to Check)
- Check
- Credit Card
Send your CHECK payable to: Temple Beth Tikvah, P.O. Box 7472, Bend, OR 97708.
After clicking "Submit", you will receive a Thank You message. Click on the "DONATE" button at the bottom of that message to link to the website where you will make a secure online Credit Card payment.
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CONTACT INFO

PO Box 7472
Bend, OR 97708
(541) 388-8826
shalom@bethtikvahbend.org

Services are held at:
First Presbyterian Church
230 NE Ninth Street, Bend.

Shabbat Times

Artwork graciously donated by Julie Wohl.
To see more of her work,
visit Julie Wohl Creations.

Yom Chamishi, 20 Heshvan 5785