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Mail-in Contribution Form

Count me in as a Contributor to the JFVS Program and Special Campaigns!


Complete, print and mail this form with your check, money order or credit card number to JFVS, 2nd floor, 32 Ford Avenue, Milltown, NJ 08850.

Your name:

Street Address:

City: State:

Zip code:

Telephone: Home Work

E-mail address:

How do you prefer to be contacted? E-mail Telephone

Which Fund or program would you like to direct your Mishpacha contribution to:

I am paying by:

check , money order, or credit card.

If paying by credit card:

Credit Card Type:

Credit Card Number:

Expiration Month:

Expiration Year:

Amount paid with this form by check, money order or credit card:


Please sign and date here before mailing:

Signature: ___________________________

Date: ___________

Your generosity is greatly appreciated!

© 2008, Jewish Family and Vocational Service of Middlesex County