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Please use this form to donate to the Jewish Community Foundation.

Please use this form for one-time payments only. If you would like to set up a recurring payment, or if you have any questions, please contact Patti Flister at pflister@jfedpgh.org or 412.992.5216.

Donation Information
Amount:	$5,000.00 $3,600.00 $1,800.00 $1,000.00 $500.00 $360.00 $180.00 Other $     *
Additional Information
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
Fund Name/Designation Information::
Comments:
Billing Details
Title:	Assistant Chief Cantor Dr. Est. of Est. of Dr. Est. of Hon. Est. of Miss Est. of Mr. Est. of Mrs. Est. of Ms. Est. of Rabbi Father Hon. Miss Mr. Mrs. Ms. Mx. Rabbi Reverend Sister
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Address type:	Business-Primary Home-Primary
Country:	Australia Austria Azore Brazil Canada Denmark France Germany Great Britain India Ireland Israel Italy Netherlands New Zealand Poland (Rep) Russian Federation Sweden United Kingdom United States Vatican City State (Holy See)
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Email type:	Business email primary Home email primary
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Credit Card
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Card Type:	American Express Discover MasterCard Visa	*
Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031	*
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If this gift is in honor or memory of someone:
Type:	In Celebration of In Honor of In Memory of	*
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	Mail a letter on my behalf. Please send to:	*