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2020 Campaign - Family Matching Gift Pledge Form

Yes! I want to match with the Brody, Galante, and Gideon families for a stronger Jewish community in Northwest Indiana.

Pledge Information
Please provide your name as you wish it to be displayed in our Annual Report.
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Prefix
First Name
Last Name
Suffix
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How may we acknowledge you in our Annual Report?
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Contact Information
First-time donor? Address change? Please complete the below:


Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code