NCJW AZ Mask Project

Mask Up - Save Lives

Donation Form
Your Name

First Name Last Name
Your Email
example@example.com
Phone Number (Best Contact Number)
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
SELECT BOX AND CHOOSE QUANTITY. PRICES ARE PER ITEM.
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1 NCJW AZ Mask
$ 10.00

Each Additional Mask
$ 9.00 Quantity
Item subtotal: $ 0.00

Free Pick-up Select Locations Below
Free Quantity
Item subtotal: $ 0.00

Mail Delivery Shipping & Handling by 1st Class Mail, USA only. $5 per Address. Fill in the form below for each recipient including yourself UNLESS you are picking up. You may include a brief note .
$ 5.00 Quantity
Item subtotal: $ 0.00

Additional Donation Please consider an additional donation. Choose a multiple of $5.00 by opening the drop-down box.
$ 5.00 Quantity
Item subtotal: $ 0.00

Total

$ 0.00
Free Pick-up Options (You'll be notified when your order is ready)

Pick-up at member's home near Raintree & 101 Pick-up at member's home near Tatum Blvd & 101 Pick-up at member's home near Scottsdale Rd and Shea Blvd in PV
Mail to ($5.00 per Address)
GIFT NOTE
GIFT NOTE
GIFT NOTE
If you need more messages for different giftees, please send a detailed email to membership@ncjwaz.org
Other Notes
Online Payment Tips

We use PayPal to process credit and debit card payments. No PayPal account is needed.

1. Click the green Submit button below

2. Once you are on the PayPal screen, scroll down to credit/debit cards
Should be Empty:

Mask Up - Save Lives