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hereby pledge, bequeath and/or give the sum below to Chabad SW Broward for the purchase, building and remodeling of the Chabad Menachem Campus in Cooper City, Florida.

Wall of Honor

Each donation of $5,400 and above will also be recognized on a distinctive tribute "Wall of Honor' in the Shul foyer.

Diamond Founder $180,000 and above	Bronze Founder $25,000 - $49,999
Gold Founder $100,000 - $179,999	Chai Founder $18,000 - $24,999
Silver Founder $50,000 - $99,999	Chabad Founder $10,000 - $17,9999	Mezuzah Dedication a decorative plaque will be placedon the door of your choice. $5,400 - $9,999

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This contribution is to be used to dedicate (dedication below) (as delineated) and shall be used in support of Chabad SW Broward's capital building campaign:
Dedication: In honor of or in memory of
My/Our generous contribution will be paid:*

One Payment Within 1 Year: 2 Payments Within 1 Year: 3 Payments 1 Year: Monthly Payment Within 2 Years Within 3 Years Other
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