BERESHEET LASHALOM
A Beginning for Peace

Membership and Contributions

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
BANK HAPOALIM
 
IBAN IL620125740000000217037

C/C Bank Hapoalim – POALILIT
AG. 574 HaPalmach - Jerusalem
Beresheet LaShalom Account #C/C 217037
 

Date


Legible Signature ____________________________________________

Please communicate your contribution details by fax : 00 972 4 698 8702
attn : Edna Angelica or Yehuda Calò Livné and we will send you a receipt.

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Dr. Angelica Calò Livné + 972 54 287 4261
e-mail: edna@beresheetlashalom.org

 Yehuda Calò Livné+ 972 54 287 2390
e-mail: beresheet@ksasa.co.il

Membership and Contributions