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Your selected gift amount is too low to qualify for your employer's criteria.
Any gift, large or small, is appreciated.
Honor a special person or celebrate the life of a loved one by making a tribute gift today. Your donation will support our Annual Fund, which allows us to present the highest caliber programming in the arts, education, social action, health and wellness, and community engagement. Your generosity demonstrates your commitment to the values of the Edlavitch DCJCC and the vibrant community that we all share.
Once your gift is received, the Edlavitch DCJCC will send a personalized card to the person or family you are honoring in recognition of your gift.
*
Enter a gift amount:
Required
Enter a gift amount:
$250.00
Enter a gift amount:
$180.00
Enter a gift amount:
$150.00
Enter a gift amount:
$118.00
Enter a gift amount:
$72.00
Enter a gift amount:
$36.00
Enter a gift amount:
Other
Enter amount.
Choosing this option will automatically repeat this gift transaction every month for 12 months.
Required
Yes, automatically repeat this gift every month.
Choosing this option will automatically repeat this gift transaction every month for 12 months.
Please check this box to make a tribute gift. Additional fields will appear below to allow you to enter your tribute information.
I would like my gift to be a tribute.
Please check this box to make a tribute gift. Additional fields will appear below to allow you to enter your tribute information.
Honoree Name:
Please Notify (Recipient Name):
Enter the name of the person to be contacted regarding this gift. The EDCJCC will send a personalized card to the individual or family honored. The recipient information is for you to specify whom you wish to receive this card and may be left blank.
Enter the name of the person to be contacted regarding this gift. The EDCJCC will send a personalized card to the individual or family honored. The recipient information is for you to specify whom you wish to receive this card and may be left blank.
Recipient Address:
Recipient Address Line 2:
Recipient City:
Recipient State:
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - District of Columbia
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
AS - American Samoa
FM - Federated States of Micronesia
GU - Guam
MH - Marshall Islands
MP - Northern Mariana Islands
PR - Puerto Rico
PW - Palau
VI - Virgin Islands
AA - Armed Forces Americas
AE - Armed Forces
AP - Armed Forces Pacific
AB - Alberta
BC - British Columbia
MB - Manitoba
NB - New Brunswick
NL - Newfoundland and Labrador
NS - Nova Scotia
NT - Northwest Territories
NU - Nunavut
ON - Ontario
PE - Prince Edward Island
QC - Quebec
SK - Saskatchewan
YT - Yukon
None
Required
Recipient Zip Code:
Message Body:
Use this space to enter a brief message to be included in the tribute card sent to the recipient.
Use this space to enter a brief message to be included in the tribute card sent to the recipient.
Matching Gift:
Please check this box to submit a matching gift form. See below for additional information.
Matching Gift:
Yes
Billing Information
Title:
Mr.
Ms.
Mrs.
Miss
Dr.
Required
*
First Name:
Required
A first name is required.
Required
*
Last Name:
Required
A last name is required.
Required
*
Address:
Required
A street address is required.
Required
Address Line 2:
*
City:
Required
A city is required.
Required
*
State:
Required
A state or province is required.
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - District of Columbia
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
AS - American Samoa
FM - Federated States of Micronesia
GU - Guam
MH - Marshall Islands
MP - Northern Mariana Islands
PR - Puerto Rico
PW - Palau
VI - Virgin Islands
AA - Armed Forces Americas
AE - Armed Forces
AP - Armed Forces Pacific
AB - Alberta
BC - British Columbia
MB - Manitoba
NB - New Brunswick
NL - Newfoundland and Labrador
NS - Nova Scotia
NT - Northwest Territories
NU - Nunavut
ON - Ontario
PE - Prince Edward Island
QC - Quebec
SK - Saskatchewan
YT - Yukon
None
Required
Required
*
Zip Code:
Required
A zip or postal code is required.
Required
*
Email Address:
Required
An email address is required.
Required
For your privacy, subscribers can unsubscribe using any email or login to change communication preferences.
Yes, I would like to receive communications from the EDCJCC.
For your privacy, subscribers can unsubscribe using any email or login to change communication preferences.
Donor Recognition Name(s): How would you like to be recognized in EDCJCC materials?
Donor Recognition Name(s): How would you like to be recognized in EDCJCC materials?
Payment Information
Credit Card Type:
Credit Card Type:
*
Credit Card Number:
Required
Credit card number is required.
Required
*
CVV Number:
Required
CVV number is required.
What is this?
Required
*
Select month of credit card
Expiration Date:
Required
Select Expiration Year
01
02
03
04
05
06
07
08
09
10
11
12
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
Required
Matching Gift
Employer Name:
This information will be used to contact your employer for information on their Matching Gift program.
Street Address:
City:
State:
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - District of Columbia
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
AS - American Samoa
FM - Federated States of Micronesia
GU - Guam
MH - Marshall Islands
MP - Northern Mariana Islands
PR - Puerto Rico
PW - Palau
VI - Virgin Islands
AA - Armed Forces Americas
AE - Armed Forces
AP - Armed Forces Pacific
AB - Alberta
BC - British Columbia
MB - Manitoba
NB - New Brunswick
NL - Newfoundland and Labrador
NS - Nova Scotia
NT - Northwest Territories
NU - Nunavut
ON - Ontario
PE - Prince Edward Island
QC - Quebec
SK - Saskatchewan
YT - Yukon
None
Required
Zip Code:
Phone Number: