Jewish Family & Children's Services of the East Bay

JFCS/East Bay Donation Form

YES! I want to join the KAVOD SOCIETY (Society of Honor) to help shape our community's future.

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 joining the Kavod Giving Circle checked below and am making a tax-deductible donation of:

Circle of Compassion ($25,000 and above), amount: ___________________
Circle of Loving Kindness ($10,000 to $24,999), amount: ___________________
Circle of Healing ($5,000 to $9,999), amount: ___________________
Circle of Comfort ($2,500 to $4,999), amount: ___________________
Circle of Life ($1,800 to $2,499), amount: ___________________
Circle of Caring ($1,000 to $1,799), amount: ___________________

Your Name(s):	________________________________________________
Address:	________________________________________________
City/State/Zip:	________________________________________________
Phone:	____________________ (if issues arise while processing your gift)
E-mail:	________________________________________________
Please send me the current list of Kavod society benefits
I wish to remain anonymous

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 _______________________________________________________

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: __________________________________________