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Donation and Tribute Form
We offer 3 easy options for you to make your
donation.
1. Complete form below and mail with check made out
to UJA Federation of Greater Toronto
Attention: ChaiSouthAfrica,
4600 Bathurst Street, Willowdale ONT M2R3V2 Canada
or complete credit card info
below and mail to the address above.
2.
Complete form below and fax to
416.631.5701 with credit card info.
3.
Use secure server online at
http://www.chaisouthafrica.com
for online Canada credit card donations.
I
Would Like to make a one time gift of $_______________
I Would like to make a
recurring gift of $_______________
This credit card gift will recur:
¨ Monthly
¨
Quarterly
¨
Once a Year
For:
¨
One Year
¨
Two Years
¨
Indefinitely
Your Name(s):
Address:
City, State, Zip:
Phone:
Email:
¨
Check Number:
¨
Credit Card Number:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Exp.Date:
_ _ /_ _
Visa/MC/AMEX (circle one)
Name on Credit
Card:
Signature:
I would like to allocate my gift of $________ to:
(Please note that the
minimum gift per home is $18
and you may choose a
maximum of five
homes)
Tribute Information (Optional)
(Please note that the
minimum gift is $36 per tribute)
Send Tribute Card
to:
Address:
City, State, Zip,
Country:
Email*:
Donation is in
¨
Honor of:
¨
Memory of:
On the Occasion of:
From:
A tribute letter will be
mailed to the recipient advising them of your generosity.
Thank you
Acknowledgement and Tax receipt from UJA Federation of Greater Toronto/ ChaiSouthAfrica will follow.
You are invited to join
one of our liaison committees please email: ChaiSA@jcfsandiego.org Tel
1-858-505-8691
UJA Toronto contact
information: Ronit Holtzman
Tel (416) 631-5738 Email: rholtzman@ujafed.org
Printing and collating of mail generously underwritten by Action Mail and
Golden State Graphics
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