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Donation/Tribute Form

To honor or memorialize a friend or loved one, you may order a beautiful tribute card to be sent from the Jewish Historical Society of Michigan for a minimum of $10. If you wish to send the cards yourself, you may order a package of four cards for $36. Please enter your information below, print and mail form with your check enclosed to:
Jewish Historical Society of Michigan
6600 W. Maple Road
West Bloomfield, MI 48322-3003

View the Tribute Card here.

1. Please send a tribute card to:
First Name:	Last Name:
Address:
City:
State:	ZIP Code:
Home Phone:	Work Phone:
E-mail:	Fax:
	In honor of   In memory of
First Name:	Last Name:
	Personal Message:
Donor Information:
First Name:	Last Name:
Address:
City:
State:	ZIP Code:
Home Phone:	Work Phone:
E-mail:	Fax:
OR 2. Please forward to me packs of tribute cards. (@ 4 cards for $36 per pack).

Membership Form  •  Heritage Council Endowment  •  Donation/Tribute Form  •  Life Members