Purim Donation Form -

Here’s a chance to fulfill two mitzvot of Purim: giving tzedakah and Mishloach Manot/Shlach Manos (sending packages of food to friends). You can honor your Congregation Beth Shalom friends and support your synagogue by taking part in this wonderful tradition. Every CBS member family receives a Purim gift bag, which will be delivered to CBS members within our delivery area. Note: Members outside the delivery area should contact Debi Kupferer at dkupfere@gmail.com to arrange to pick up their bags at CBS. We’ll be successful if we all contribute! Complete the order form below and mail to Debi Kupferer (address below). Everyone who donates will be recognized at their level of giving in each Purim bag and in an upcoming eShalom.

Send this order form with check to Debi Kupferer by Monday, Feb 16, 2026.

Please PRINT your name exactly as you wish it to appear on the acknowledgment.

Family Name(Required)

Please type your family's name as you would like it to be stated for the acknowledgement

Email(Required)

Delivery Address(Required)

Phone

Anonymous Donor?

Check if you want to donate anonymously

No Bags Please?

Check if you don’t want a bag delivered to you

Only Hamantaschen?

Check if you want hamantaschen only

Volunteer Help

Please volunteer to help assemble and/or deliver!

I can help stuff bags on Saturday, February 28th at 3:00pm at CBS.

I can help deliver starting at 9:00am on Sunday, March 1st at CBS.

Levels of Giving (examples of what your contribution provides)(Required)

$18.00 - HamantaschenTzedakah (funds one Purim bag)

$36.00 - Megillah Tzedakah (helps fund 1 set of High Holy Days prayer books, $52)

$90.00 - King Ahasuerus Tzedakah (helps fund 1 week of ground maintenance, $250)
- Receive one bonus baggie of hamantaschen

$136.00 - Mordecai Tzedakah (funds 2 weeks of phone & internet service)
- Receive two bonus baggies of hamantaschen

$180.00 - Esther Tzedakah (helps fund one hour of Religious school for our children)
- Receive two bonus baggies of hamantaschen, plus one baggie of specialty chocolate dipped hamantaschen from Goldie's Bagels!

Extra bags @ $15.00/bag (minimum donation at Megillah level of giving)

Price: $15.00

Extra baggies @ $4.00/baggie of 5 assorted flavor hamantaschen (minimum donation at Hamantaschen level of giving)

Price: $4.00

Additional donation to help defray increased costs due to inflation

Please tell us any other special instructions (e.g. no bag, no delivery, pick up in office, etc.)

Your Total Tzedakah

OR Print the order form and a send a check made out to Congregation Beth Shalom to:
Debi Kupferer
403 Kangaroo Court.
Columbia, MO 65202
dkupfere@gmail.com
573-239-9574

Don’t send your order form to CBS!