Jewish Family & Children's Services of the East Bay

JFCS/East Bay Donation Form

YES! I want to help JFCS/East Bay care for our East Bay neighbors!

Please print this form and return it to us by fax or mail.

To fax:

Fax your completed form to JFCS/East Bay at (510) 704-7494
Attn: Development Department

To mail:

Mail your completed form to:
Development Department
Jewish Family & Children's Services of the East Bay
2484 Shattuck Ave., Suite 210
Berkeley, CA 94704

I am making a tax-deductible gift of:

$500 $250 $100 $36 $18 $ ____________ other $1,000 Kavod Society

Your Name(s):	________________________________________________
Address:	________________________________________________
City/State/Zip:	________________________________________________
Phone:	____________________ (if issues arise while processing your gift)
E-mail:	________________________________________________

Payment Options:

	My check payable to JFCS/East Bay is enclosed.
	Please charge my gift to: MasterCard VISA Card #______________________________________ Exp. Date_________ Name(s) on card___________________________________________________ Signature ________________________________________________________
	I wish to remain anonymous.

For Tribute Gifts:

This gift is given:

in memory of ______________________________________

in honor of ______________________________________

on the occasion of ______________________________________

Please notify the following person(s) of this gift:

Name(s): _____________________________________________

Address: ______________________________________________

City/State/Zip: __________________________________________