Please fill in and print the form below to communicate your contribution
details by fax to:
00 972 4 698 8702 Attention : Edna Angelica
or Yehuda Calò Livné and we will send you a receipt.
I would also like to participate in a project
that will change a difficult reality and know that I
had
a role in changing this reality toward a better one, with hope for all.
Contributor :
First & Last Name
:
Address : City : Region :
Postal Code :
Country :
Telephone
Mobile Phone
E-mail
I commit to this
effort with a contribution of:
Account : Beresheet LaShalom
Foundation
IBAN: IL04-0204-8700-0000-0384-663
SWIFT CODE : MIZBILIT
MIZRACHI TEFAHOT BANK LTD.
SDEROT TEL – HAI 77 STREET
BRANCH 487
KIRYAT SHMONA
