Jewish Multiracial Network


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You may download the Donation Form in Word Document or PDF file, fill it in, print, and then mail it to us at the address above.

Suggested Donation Amounts:
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1. Donation Amount in U.S. Currency $______________
Thank You!
2. Method of Payment (pick one option: a. or b.)

Check or Money Order -- Please make payable to Jewish Multiracial Network, fill out section 3 below, and mail the check to the address at the top of this form.
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Your credit card number
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Expiration date (mm/yy or mm/dd/yy):
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Name as it appears on your credit card:
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Signature:
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3. Information about you (for a thank you card and receipt)
Name
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Street Address
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City
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State_______ Zip or Postal Code______________

Country _______________________________

Day phone:__________________

Evening phone:____________________

Email address
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* A donation to The Jewish Multiracial Network is tax deductible.

For more information about the Jewish Multiracial Network please Contact Us.
To make a Donation click here.
If you wish to contact the Jewish Multiracial Network e-mail us at:
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