Hillel at Indiana University Inc · Student Care Packages

Amount *

$180 - Birthday/Special Occasion Package (Please fill out the Birthday/Special Occasion Section Below)

$180 - "Just Because" Package (Please fill out the Just Because Section Below)

$180 - High Holiday Package (Please fill out the High Holidays Section Below)

$180 - Purim Package (Please fill out the Purim Section Below)

$180 - Passover Package (Please fill out the Passover Section Below)

$180 - Fall Semester Finals Package (Please fill out the Fall Semester Package Below)

$180 - Welcome Back-Second Semester (Please fill out the

$180 - Spring Semester Finals Package (Please fill out the Spring Semester Package Below)

$

Donation Schedule

Check All That May Apply

My company has a matching gifts program, please contact me about this opportunity.

Yes, I would be interested in learning about additional opportunities to invest in Jewish life at IU!

Yes, I would be interested in learning about the Parent Advisory Board.

Birthday/Special Occasion Information

Please complete all information in this section.

Birthday

(mm/dd/yyyy)

Birthday Cake Flavor

Chocolate

Yellow

Birthday Frosting Flavor Choice

Chocolate

Vanilla

Birthday/ Special Occasion Card Should Read

"Just Because" Package Information

Please complete all information in this section.

"Just Because" Preferred Delivery Date

(mm/dd/yyyy)

"Just Because Card Should Read" Card Should Read

Holiday Package Information

Please complete this section if you purchased any of the Holiday Packages.

High Holiday Card Should Read

Purim Card Should Read

Passover Card Should Read

Study Package Information

Please complete this section if you purchased any of the Study Packages.

Fall Card Should Read

Welcome Back-Spring Semester Card Should Read

Spring Semester Finals Card Should Read

Contact Information

Student Full Name *

First Name

Last Name

Student IU Email *

Verify Email *

Student Phone Number *

Student Campus Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Parent or Grandparent? *

Parent

Grandparent

Parent or Grandparent Name *

First Name

Last Name

Parent or Grandparent Name 2

First Name

Last Name

Parent or Grandparent Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Parent/Grandparent Email *

Verify Email *

Parent/Grandparent Phone Number *

Completing this form gives IU Hillel permission to text and email you about important campaigns or events. IU Hillel will never sell your information.