Thank you for supporting
The Caslav* Jewish Cemetery Restoration Project.

Please print this form and include it with your donation.

* Please note: The "C" in Caslav is pronounced like the "ch" in church.

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Please write your check to:

The Associates of the USCPAHA

Please Write CJCRP on the "memo" portion of your check.

Mail To:
Czech Heritage Action Initiative (CHAI)
P O Box 7222
Deerfield, IL 60015

Name:

Address:

E-Mail Address:

My donation is made:   
     □ in honor of:
     □ in memory of:
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    □ List my name this way:
    □ List only my initials   □ I prefer to remain anonymous