Chase Donoff Special Needs Fund

The enrichment, education or accomodation of special needs individuals

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Fund

Your Name*

First Last

Your Email*

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Other Amount*

Total

Credit Card*

Card Details

Cardholder Name

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is this gift in special recognition?*

This Gift is in Honor Of:*

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This Gift is in Memory Of:*

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This Gift is on the Occasion Of:*

This Gift is From:*

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Person to send Notification to:*

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Gift Message

How would you like the donation acknowledgement sent?*

Email notification

Mail notification

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The person you specify here will receive an email notification for this gift.

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Temple Beth El