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														To make a contribution, please print the following formand mail with your check, payable to
 "Routes to Roots Foundation, Inc."
 
 The Miriam Weiner Routes to Roots Foundation, Inc.
 
 
 
															73 Harbor Key, Secaucus, New Jersey 07094 USA Tel: 201/866-4075; Fax: 201/864-9222
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												YES, I want to support the research and documentationof Jewish roots in the archives of Eastern Europe
 
 
 
 
											
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																		| Name: | ___________________________ |  
																		| Address: | ___________________________ |  
																		| City: | ___________________________ |  
																		| State: | ___________________________ |  
																		| Postal Code: | ___________________________ |  
																		| Country: | ___________________________ |  |  | 
														
															
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																			| $     500  Sponsor | ___________________ |  
																			| $  1,000  Sustaining | ___________________ |  
																			| $  2,500  Patron | ___________________ |  
																			| $  5,000  Benefactor | ___________________ |  
																			| $10,000  Guardian | ___________________ |  
																			| $________ Other | ___________________ |  |  |  
											The foundation is a Not-For-Profit Corporationin accordance with section 501(c)(3) of the Internal Revenue Code
 Registered in the States of New York and New Jersey
 
 
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										 RTR Foundation home page > Supporters
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