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Monthly Giving Club Support
Your Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
*
Mailing Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Student's Info
Student Name
First Name
Last Name
This student is a(n):
Undergraduate Student
Graduate Student
Expected graduation year of this student
Umich Email
Verify Email
Cell Phone
Add another student?
Yes
Student Name #2
First Name
Last Name
This student is a(n):
Undergraduate Student
Graduate Student
Expected graduation year of this student #2
Cell Phone #2
Umich Email #2
Verify Email
Donation Information
Note: Special incentives associated with our Monthly Giving Club starts at $18/mo.
Amount
*
$180
$100
$50
$36
$18
$
Donation Schedule
Monthly
Donate Anonymously?
Note: In choosing Yes, your name will NOT appear in our Annual Report's Honor Roll of Supporters.
Yes
Will this be a Tribute gift?
*
No
Yes
I am making this gift:
In honor of
In memory of
Please provide the name and address for tribute and any additional comments you would like to include. (Tributes without addresses listed cannot be mailed)
How should your name be listed on Michigan Hillel's Newsletter and Website?
example: John & Jane Doe
Parents will also get 2 seats at our Parent & Family Shabbat of Parents Weekend. If you know already, do you plan to attend that dinner?
Yes
No
Maybe
Add 3% to my total amount to help cover the payment processing fees
