|
To Show Your Support For Our Residential Program
Please print this form and indicate the recipient of your contribution:
___Shalom House (established in 2001)
___Keshet House (established in 2009)
Enclosed is my tax-deductible donation in the amount of $_______________
____Enclosed is my check
____Please charge my VISA/MasterCard/American Express
Card# _______________________________________ exp. date ____________
Name ________________________________________________________
Address ______________________________________________________
City ______________________________________State _______ Zip __________
E-mail ____________________________ Phone ____________________________
Please mail this form and your tax-deductible contribution to:
Council For Jews With Special Needs
12701 N. Scottsdale Road, Suite 205
Scottsdale, Arizona 85254
|