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Social Services Financial Assistance Meir Shlomo Simcha Gmach

Gmach Donation Form

Gmach Donation Form
We would like to thank you for your generosity and dedication in helping us serve the growing needs of our community.
May you have much naches, materially and spiritually.
Donor Information:
Full Name*
First Name Last Name

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*
E-mail*
Donation Options:
Choose one*

$54 - Contributor$180 - Sponsor$500 - Supporter$1800 - Pillar$5000 - Founder
Total

$0.00 CAD

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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. Thank you for you Support.
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