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2020 Campaign Pledge Form
Thank you for supporting the Jewish Federation of Northwest Indiana!
Pledge Information
Please provide your name as you wish it to be displayed in our Annual Report.
Name
*
Prefix
First Name
Last Name
Suffix
Preferred Contact Email
*
Verify Email
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Gift Amount: $
*
Donor Listing:
*
How may we acknowledge you in our Annual Report?
My name may be listed alphabetically
My pledge is anonymous
Payment Information:
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Please bill me
I will mail in a check (payable to Jewish Federation of NWI)
I will pay online on the next screen
Contact Information
First-time donor? Address change? Please complete the below:
Preferred Contact Phone
This is my...
Home Phone
Mobile Phone
Business Phone
Other Phone
Mailing Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code