CARD GIFT FORMHAR EL GIFT CARD DONATION FORM

Your Name:

Your Phone Number:

Your E-mail Address:

Card Recipient's Name:

Card Recipient's Address (if not a member of Har El)

Number and Street

City Province   Postal Code

In honour ofon the occasion of

In memory of

My personal message below

From (as you would like the card signed):

Amount of Donation:Dollars       

My Visa/MasterCard # is on file  OR  I will be contacted by Har El for payment information

Direct My Gift To: (make a choice from menu below)