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Please Print this page and mail it to:

Generations After, Inc., c/o Isaac Kot, Treasurer, 67 South Bedford Street, Suite 400W, Burlington, MA  01803


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Membership Dues         


   25.00


General Donation


$


Donation in Honor of:


 Name(s) of the honoree(s) ­­­­­­­­­­­­­­_______________________________


 Name and address to which the acknowledgement is to be sent:


  ______________________________________________________


  ______________________________________________________


 


 


 


 


 


$


Donation in Memory of:


Name(s) of the deceased ___________________________________


Name and address to which the acknowledgement is to be sent:


 ______________________________________________________


 ______________________________________________________


 


 


 


 


 


$


Transportation Donation


$


Holiday Visits Donation


$


Cafe Hakalah Donation


$


Hymn of the Partisans Zog Nit Keyn Mol – CD $10.00 ea.


This recording has been made in tribute to the Holocaust Survivors in our community and to the millions of souls who perished in the Shoah (Holocaust).


Produced by Generations After, Inc.


Musical Direction Emily Paley


Singers:   David Dembling, Holocaust Survivor;                                  Emily Paley, Student


Violinist:  Jenna Brown, Award Receipient Facing History & Ourselves


Narration:  Matthew Stein, Child of a Holocaust Survivor


 Number of CD’s  ……………………………  _____________


 


 


 


 


 


 


 


 


 


$


 


Total


 


$


Name: ____________________________________________


Address: __________________________________________


Telephone Number: _______________________________


E-mail Address: ____________________________________


Addresses including e-mail addresses will not be sold or rented.


                           Generations After, Inc. is a 501(c)(3) organization; your                              contributions are tax deductible under Section 170 of the Internal Revenue Code.