| How would you like to donate? | Credit Card |
|---|---|
| Credit Card | Visa XXXXXXXXXXXX1157 |
| Check/Bank Account Information | |
| Grant Organization | |
| Date | 12/06/2025 |
| Your Donation | $250.00 |
| Total | $250.00 |
| Donation Type | One Time |
| How Many Months? | |
| Name | Daniel Lieber |
| Phone | +19177446411 |
| Email hidden; Javascript is required. | |
| Address | 08701 United States Map It |
| Referral Code | |
| Referrer Name | |
| Team | |
| Campaign | Rabbi Sommers Chasunah Fund |
