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Amount
*
$100
$50
$25
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Name
*
First Name
Last Name
Company Name (if applicable)
Phone
*
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Gift Recognition
The JJMF recognizes donors by name in our Annual Impact Report. Please check below if you prefer your gift to remain anonymous.
My gift is intended to be anonymous.
Would you like to honor or dedicate your donation in memory of someone special with your gift?
*
No
My donation is in memory of someone
My donation is in honor of someone
Honor or Memorial Name
*
First Name
Last Name
Would you like us to notify someone of your special honor/memorial gift? Note: Gift amount is not mentioned in notification.
*
Yes
No
Notification of Honor or Memorial Gift
Please include the name and either email address or mailing address of the person you would like us to notify of your special gift (no gift amount mentioned).
Name of person to notify (gift amount not mentioned)
First Name
Last Name
Send notification via email to:
Verify Email
Send notification via address to:
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Add 3% to my total amount to help cover the payment processing fees