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Programs Jewish Inmate Services

JIS Donation Form

Thank you for supporting Jewish inmates, letting them know that they are not forgotten.

All contributions are tax deductible to the fullest extent allowed by the law.
Contact Information
Full Name*
First Name Last Name

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*
E-mail*
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Payment Information
Amount*

$18$36$54$180$360$720$1800$3600
Yes, I'd like to make this a monthly recurring payment.
In honor/memory of:
Total

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3.25%

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

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Country

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