Donation form: 1. Print and complete form and fax or mail to the address below with your check made out to: Check and Mailing address : Jewish Community Foundation, 4950 Murphy Canyon Road, San Diego, CA, 92123 U.S.A. Fax 858-279 6105, Tel. 858-505 8691 (PST) YES- I would like to help by making a meaningful one-time donation of $________________ OR - I would like to make a [ ] Monthly or [ ] Quarterly donation of $ ___ (cc only) [ ] Indefinite [ ] 1 year [ ] other Name: ____________________________________________________ Address: __________________________________________________ City: : ____________________ Province:_________________________Postal Code:_____________ Country:_________________________________________Phone: (______)____________________ Email: ____________________________________________________ Credit card Act. No _________________________________ Signature:_______________________ Exp. date:____________________ Visa/Mastercard (circle one) Name on card:______________________________________ I would like to donate my contribution to: [ ] Glendale Home for the Jewish Handicapped, Cape Town, [ ] Oranjia Orphanage, Cape Town [ ] Highlands House, Jewish Aged Home, Cape Town [ ] Beth Shalom, Jewish Aged Home, Durban [ ] Jewel House, Home for the Jewish Handicapped, Durban [ ] Arcadia Orphanage, Johannesburg [ ] Our Parents Home, Jewish Aged Home, Johannesburg [ ] Sandringham Gardens, Jewish Aged Home, Johannesburg [ ] Society for the Jewish Handicapped, (Selwyn Segal) Johannesburg [ ] Jaffa House, Jewish Aged Home, Pretoria [ ] Savyon Lodge for the Aged, Bulawayo [ ] ALL of the above on an allocated basis. TRIBUTES/ YAHRZEITS  -  USA and Canada (Minimum $36 per tribute) and Australia ( minimum $54) only. A lovely tribute card will be sent to those you are honoring. This donation is in [ ] Honor, [ ] Memory of Name Address City, State, Zip, Country Email On the occasion of: From: Thank you for making a difference. If you would like to join one of our international liaison committees please email chaisa@jcfsandiego.org 4950 Murphy Canyon Road, San Diego, CA, 92123 Email: chaisa@jcfsandiego.org