Donation form REVISED as of 2-06

							                         Congregation Anshei Israel Donation Form
        Return completed form with payment to: 5550 E. 5th St., Tucson, AZ 85711 or fax to 745-9058.
                                  Notification cards can only be sent for donations of $10 or more.
DONOR
Name __________________________________________________________________________________
Address _______________________________________________________________ Zip _____________
Payment: Check/Cash _____ Visa/MC # ______________________________ Exp. ______ Sec. Code ______


 1      Card sent to __________________________________________ $ _________ Fund Code* ______
        Address __________________________________________________________ Zip _____________
  IN MEMORY OF ___________________________________________________________________________
  IN HONOR OF ____________________________________________________________________________
  IN APPRECIATION OF _______________________________________________________________________
  SPEEDY RECOVERY OF ______________________________________________________________________
  GENERAL CONTRIBUTION ____________________________________________________________________


 2      Card sent to __________________________________________ $ _________ Fund Code* ______
        Address __________________________________________________________ Zip _____________
  IN MEMORY OF ___________________________________________________________________________
  IN HONOR OF ____________________________________________________________________________
  IN APPRECIATION OF _______________________________________________________________________
  SPEEDY RECOVERY OF ______________________________________________________________________
  GENERAL CONTRIBUTION ____________________________________________________________________
                                                   ~ More space on reverse ~

*Choice of CAI Funds and Codes
     CODE Scholarship Funds                                           CODE   Memorial Funds
     CR   Camp Ramah Funds honoring: Bea & James Cole, Ses &           BR    Rabbi Marcus Breger - Adult Studies
          Maurice Cohen, Joseph Kall & Archie & Marjorie Mendelsohn   SY     Hyman Shenitzer Yom Tov
       FI Bella Fingerett Israel                                      WE     Martin L. Weich
      LH  Louise Haber Preschool/Kindergarten                         Y Y    Yahrzeit/Yizkor
     SR   Louise & Norman Shapiro Religious School                           Other Children’s & Youth Funds
          Endowment Funds                                             RB     Ruth & Stanley Barlin Bar/Bat Mitzvah Enrichment
     EO   General                                                     LP     Lynne Falkow-Strauss Preschool/Kindergarten
     OE   Rabbi Arthur Oleisky for Excellence in Jewish                IS    Israel Youth Travel
          Education & Youth Activities                                UY     United Synagogue Youth
      UE  USY Shaol Pozez Endowment                                   YC     Youth Center
      RE  Abe & Lillian Rubin for Jewish Education                    PP     Zuckerman Preschool/Kindergarten Playground Equipment
          Library, Bible & Book Funds                                        Additional Funds
     BB   Bible                                                       AK     Reverend Appel Kashrut Observance
      CL  Maurice Cohen Children’s Library                            AF     Art
      PB  Prayer Book                                                 CG     Congregational
      RL  Bernard Rackoff Library                                     TO     Epstein Chapel/Rubenstein Torah Readers
      TR  Trachtenberg Library                                        GT     Gilo B’nai Mitzvah Twinning
          Discretionary Funds                                         GA     William Greenberg Audio Visual
     RN   Rabbi Robert Eisen                                          MC     Music & Choir
      ED  Education Director Rabbi Kelley Gludt                       AC     Ritual Objects
     CD   Cantor Ivor Lichterman                                      SF     Religious School Student
     RD   Rabbi Arthur Oleisky                                        SG     Abner Segal Landscape
                                                                      KD     Jean Spiegel Kiddush
                                                                                                                                     3-09
                                   Donation Form
                                      ~ continued ~

3   Card sent to __________________________________________ $ _________ Fund Code* ______
    Address __________________________________________________________ Zip _____________
IN MEMORY OF ___________________________________________________________________________
IN HONOR OF ____________________________________________________________________________
IN APPRECIATION OF _______________________________________________________________________
SPEEDY RECOVERY OF ______________________________________________________________________
GENERAL CONTRIBUTION ____________________________________________________________________



4   Card sent to __________________________________________ $ _________ Fund Code*   ____
    Address __________________________________________________________ Zip _____________
IN MEMORY OF ___________________________________________________________________________
IN HONOR OF ____________________________________________________________________________
IN APPRECIATION OF _______________________________________________________________________
SPEEDY RECOVERY OF ______________________________________________________________________
GENERAL CONTRIBUTION ____________________________________________________________________



5   Card sent to __________________________________________ $ _________ Fund Code* ______
    Address __________________________________________________________ Zip _____________
IN MEMORY OF ___________________________________________________________________________
IN HONOR OF ____________________________________________________________________________
IN APPRECIATION OF _______________________________________________________________________
SPEEDY RECOVERY OF ______________________________________________________________________
GENERAL CONTRIBUTION ____________________________________________________________________



6   Card sent to __________________________________________ $ _________ Fund Code* ______
    Address __________________________________________________________ Zip _____________
IN MEMORY OF ___________________________________________________________________________
IN HONOR OF ____________________________________________________________________________
IN APPRECIATION OF _______________________________________________________________________
SPEEDY RECOVERY OF ______________________________________________________________________
GENERAL CONTRIBUTION ____________________________________________________________________