Sinai Akiba Academy

Tributes and Memorial Gifts

We invite you to mark a special occasion or to honor someone through a tribute or memorial gift. All gifts will be acknowledged and help to support the educational opportunities for our students.

Please choose which fund you would like to support.

	Sinai Akiba Academy General Fund
	Scholarship Fund
	Headmaster's Discrentionary Fund
	Curriculum and Instructional Resources
	Orchestra Fund
	Learning Support
	Technology Fund
	Sinai Temple General Fund
	Other:

My gift is a tribute:

	In Honor of
	In Memory of

	Please send an acknowledgement to:

Personal Information

	Full Name:*

	Home Address*

	City:*

	State:*

	Zip Code:*

	Phone Number:*

	Fax Number:

	Email Address:*

	Please tell us your affiliation to Sinai Akiba Academy.

	Sinai Temple Membership ID Number:

Payment of Gift

	Please type how you would like your name listed in the annual report.

I/We would like to make this gift anonymously.

	yes
	no

	Indicate Gift Amount:*

Cardholder’s Name:
Credit Card Type:
Card Number:
Expiration Date:

Thank you for generously supporting Sinai Akiba Academy.

If you would like a copy of this submission, please put your email address in the field below.

Please Note: Questions marked with an asterisk (*) are required.