JCS · donation form

Give Now to Help Your Neighbors in Need

Fill in your information below to make a secure, tax-deductible gift to Jewish Collaborative Services (JCS). Your donation will help some of the thousands of individuals and families that JCS serves each year.

You can even designate a donation for a particular program or on behalf of a loved one.

Note: * indicates required field.

Is this a donation from an individual or organization?

Individual

Organization

Is this a Matching Gift?

Yes

Amount ($18 minimum)

$100

$50

$25

Donation Schedule

Donor Name

First Name

Last Name

Organization/Employer

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Would you like your donation to be designated to a specific program?

No, use my donation where it’s most needed

Yes

Is your gift for Jewish Eldercare's (JERI) "The Pushke Project"?

Yes

Would you like your gift to be used for our High Holiday Support?

Yes

How would you like your gift to be allocated?

Phyllis Siperstein Assisted Living Neighborhood

Renaissance Memory Support Neighborhood

Tamarisk Employee Appreciation

Tamarisk General Operating

Are you purchasing a brick for the Honor Walkway?

Yes

Brick Listing

Please type the information as you want it to appear on the brick.
We recommend only one name or family name per brick.

Up to 6 lines, 18 characters per line, including spaces

Line 1 (18 characters max)

Line 2 (18 characters max)

Line 3 (18 characters max)

Line 4 (18 characters max)

Line 5 (18 characters max)

Line 6 (18 characters max)

How would you like your gift to be allocated?

Counseling General Operating

Julie Claire Gutterman Fund

How would you like to receive your formal gift acknowledgement letter?

Email is fine, thank you.

Please mail me a hard copy, thank you.

Both email and hard copy delivery would be greatly appreciated!

Would you like your donation to be in honor/in memory of a loved one, family member, friend, and/or relative?

Yes, In Honor

Yes, In Memory

In Honor/Memory Of

First Name

Last Name

Would you like us to send a card?

You will have the option of sending up to 3 cards. Suggested donation per card is $18 or more.

Yes

What would you like to say in the card?

Tribute Recipient Name

First Name

Last Name

Tribute Recipient Salutation

Tribute Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Would you like to send an additional card(s)?

Yes, In Honor

Yes, In Memory

What would you like to say in the card?

Card #2

Tribute Recipient Name #2

First Name

Last Name

Tribute Recipient #2 Salutation

Tribute #2 Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Would you like to send another card?

Yes, In Honor

Yes, In Memory

What would you like to say in the card?

Card #3

Tribute Recipient #3 Name

First Name

Last Name

Tribute Recipient #3 Salutation

Tribute #3 Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Would you like your loved one's name read out loud the week of their Yahrzeit?

Please allow 2 weeks notice for name(s) to be added (max of 3 names)

Yes

Date #1

Please indicate if date is english or hebrew

Special Instructions

Contact Information