Full Name* First Name Last Name E-mail* There is no mandatory payment for this service. Donation Amount $18.00 CAD$54.00 CAD$90.00 CAD$180.00 CAD$540.00 CAD Dedication Hebrew Name, Mother's Hebrew Name, Last Name Dedication Hebrew Name, Mother's Hebrew Name, Last Name Payment Credit Card We accept Visa, MasterCard, American Express Credit Card Number Security Code1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2025202620272028202920302031203220332034 Expiration Year Total $0.00 CAD The JRCC is a non-profit organization. All grants and charitable contributions $18 plus, are tax-deductible. A Tax reciept will be issued and sent to the above name and address unless otherwise noted. Submit Should be Empty: This page uses TLS encryption to keep your data secure.