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Talmud Torah is pleased to offer online donations through the convenience and security of PayPal.

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	Date: First Name: Last Name: Company: Address: Suite/Apt: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code: Phone: E-mail:   Amount: $   Apply my Donation to:   General Fund (proceeds may be applied towards special needs, scholarship assistance, etc.) Annual Campaign - Legacy of Excellence Grandparents Club Purchase Benefit Tickets:   $180 VIP Ticket Pre-Party / Main Event $60 General Ticket / Main Event Comments:

      

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