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Kehila
Adas Yisroel
Aguda Rav Reisman
Agudah Avenue L
Agudas Yisroel of Bayswater
Agudas Achim
Agudas Israel of Flatbush
Agudas Israle of West Hills
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Agudas Yisroel 18th Avenue
Ahava Veachva
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Alexander 56th st
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Amshinov
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Apta
Arugas Habosem
Ashkenazi
Ateres Moshe
Ateres Shimon
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Ateret Torah
Avenue D Synagogue
Avenue J Torah Center
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Avreichim
Avreichim (Rav Schneibalg)
Bais Asher Mordechai
Bais Avraham
Bais Chaim Shia
Bais Dovid
Bais Elimelech
Bais Elyon Meilich
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Bator
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BISTRITZ
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K'hal Bais Halevi
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Kollel Institute of Greater Detroit
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Nachlas Yisroel
Nadvorna
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Rabbi Rokeach
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RSA
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Satmar Monsey
Satmar monsey
Satmar RZL
Satmar Skillman
Sephardic Torah Center
Seret Vishnitz
Shaar Hatorah
Shaar Yoshuv
Shaarei Yosher
Shaarei Chesed
Shaarei Emuna
Shaarei Rachamim Torah Center
Shaarei Tefilah
Shaarei Tefillah Forshay
Shaarei Torah (RabbiDavid)
Shaarei Tshuva
Shaarei Tzedek
Shaarei Tzion
Shaarei Zion
Shefa Chaim
Shemen U'Mincha
Shenya
Shevet Ahim
Shinev
Shira Chadasha
Sholom V'reius (Rabbi Moshe Kahan)
Shomer Torah
Shotz
Shuvu Israel
Sklen
Skolya
Skulen
Skver
Slonim
Spinka
Spinka (Keap)
Spinka Kollel
Stanislov
STC of Long Branch
Sterling Forest
Stolin
Stroznitz
Stutchin
Sulitz
Synogogue of West Long Branch
Syrian
Tal Yisroel
Tartkov
Tefila L'moshe
Telz
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Temple Ner Shalom
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test
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Tov
Tov V'Chesed
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Tzemach Tzadik
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Yagdil Torah (Detroit)
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Yeshiva and Kollel Ramach
Yeshiva Chaim Berlin
Yeshiva Darchei Torah
Yeshiva Derech Chaim
Yeshiva Gedola Of Five Towns
Yeshiva Gedola of South Monsey
Yeshiva Gedolah Ateres Mordechai
Yeshiva Gedolah Montreal
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Zichron Moshe
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Zichron Yaakov
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No
Substance use
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Yes
No
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No
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No
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No
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No
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I intend to donate the following amount per orphan and widow/er. I understand that no collections will be made on my behalf.
Additional Information
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Additional Comments
I hereby affirm that I have read and agree to all
Terms and Conditions
of the Areivim USA program. Subject to such terms and conditions, I also herby authorize Areivim USA to charge my account indicated above for up to $
42.00
each month. I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notifiy Areivim USA in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next charge date. If the above noted payment dates falls on a weekend or holiday, I understand that the charges may be executed on the next business day.
I agree to receive SMS notifications
Only enter this field if you were told to do so by a staff member.