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DONATIONS via Check
Name
*
First Name
Last Name
Organization/Employer
Enter if this is a gift from an organization and you are the contact.
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
Email
BE SURE TO CHECK YOUR EMAIL FOR YOUR RECEIPT.
Verify Email
Purpose of your donation?
*
Select the fund from the dropdown menu.
select one
Veterans Bus Passes
BUILDING FUND
JAVC General Fund
JAVC Membership
QTAX - AZ Qualified Tax Credit
Veterans Assist
Veterans Treatment Court
Women's Program
Check Number
Date of Check
*
Check Date
Amount
*
Please fill in the amount of your donation.
Donation Note
Enter any specific event for this donation. Example: Yard Sale.