JCDSRI Tribute Gift
Honor or memorialize a friend or family member with a JCDSRI tribute gift. We kindly suggest a donation of $36; donations of $18 or more will be acknowledged by a personalized card to the recipient. Thank you for making a donation in honor of a friend, loved one or community member! We are grateful for your generosity.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Tribute Gift #1
This tribute gift is
*
in memory of
in honor of
Name of honoree
*
First Name
Last Name
Name of person who would you like to receive the tribute card
*
First Name
Last Name
Address to which you would like the tribute card to be sent
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional notes or comments
Tribute Gift #2
This tribute gift is
in memory of
in honor of
Name of honoree
First Name
Last Name
Name of person who would you like to receive the tribute card
First Name
Last Name
Address to which you would like the tribute card to be sent
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional notes or comments
Tribute Gift #3
This tribute gift is
in memory of
in honor of
Name of honoree
First Name
Last Name
Name of person who would you like to receive the tribute card
First Name
Last Name
Address to which you would like the tribute card to be sent
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional notes or comments
Donation Amount
*
Donation $18 (minimum $18 per gift)
Donation $36
Donation $54
Donation $108
Total number of gifts 1,2 or 3
Total Amount
Total Amount Charged to Paypal
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USD
Description
Thank you! Todah Rabbah!
With questions, please contact Alison Walter, Director of Development, at awalter@jcdsri.com.
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