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Donation in memory

Donation in memory

Donation in memory / in honor of a loved one

Donor Information

 First Name *
 Last Name *
 Address * 
 City *
 Postal Code *
 Phone * 

Donation Options:

Choose one *  

 Amount:    

Payment Method:

 Security: JRCC uses technology that encrypts all information from the end-user to the web server. This is known as SSL encryption. In fact we use the highest form of this encryption, 128 bit SSL encryption. Secure pages are identified by the "lock" icon in your browser and by the web address beginning with "https://"

Bill my         
  Amount *
 Card Number *  
     Expiration Date *

Card: 
We will send a card acknowledging your donation.

In memory of  In honor of

To be sent to:
Name
Address

From:
Name
Address

Please write a note to be added to the card:



 

Tax Reciept:

The JRCC is a non-profit organization. All grants and charitable contributions $18 plus, are tax-deductible. A Tax receipt will be issued and sent to the above name and address unless otherwise noted. Thank you for you Support. 

 

 

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