Centennial Shabbat Activity Book Request

MailChimp Tag / Form Name

Memo

Notes to internal Federation professionals

Name*

First NameLast Name

Email*

Confirmation EmailConfirm email address

Mobile Phone Number*

Please enter a valid phone number.

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date of Birth

Number of activity books requested*

If you would like to order more than 5 copies of the Centennial Shabbat Activity Book, please contact our Community Concierge at concierge@jfedgmw.org.

With whom will you be sharing this activity book?*

my child/renmy grandchild/renOther

Where do they live?*

Greater MetroWest NJ (Essex, Morris, Union, Sussex and part of Somerset Counties)Other

I would like to add another adult to this registration

Additional Registrant Name*

First NameLast Name

Enter their email to ensure they receive notification, too!

Confirmation Emailexample@example.com

Configurable list*

Ticket options*

Every new and increased gift made to the 2024 UJA Annual Campaign will be matched 1:1 through our Match of the Century.

I would like to make a gift to the 2024 UJA Annual Campaign.

Amount in USD

Total Ticket Cost:

${ticketAmount}

Ticket payment due today by credit card (fees apply)

Total Gift Amount:

${giftAmount516}

Payment Options for Gift*

Credit Card (fees apply)CheckPlease bill me (payment is due in full by December 31, 2024)I intend to make a recommendation from my Donor-Advised Fund

My billing information is the same as my mailing address.

Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Credit Card Type*

VISA/MCAmerican ExpressOther

Total

USDDescription

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Send your check in the amount of ${totalAmount528} payable to Jewish Federation of Greater MetroWest to:

Jewish Federation of Greater MetroWest NJ
Attn: TBD
901 Route 10, P.O. Box 929
Whippany, NJ 07981-0921

paymentData

Families raising children from birth through 8 years old with Judaism as part of their lives are encouraged to sign up for the gift of age-appropriate PJ Library books at no cost.

PJ Library® in Greater MetroWest NJ is a gift from the Ted z"l and Maxine Murnick Family Fund.

Please choose from the options below to sign up for or let us know if you are already subscribed to receive PJ books.*

My family already receives PJ Library booksYes, please reach out to me about signing up my child/ren/grandchild/ren for PJ Library.No, I am not interested in free age-appropriate books

As part of our Welcoming and Inclusion initiative to better serve our diverse community, we'd like to know if you identify as or ally with any of the following. Please check any or all that apply below:

Jews of ColorInterfaith / MultifaithLGBTQ+Other

Total Ticket Cost (hidden)

Gift Amount

Ticket Amount to charge

Gift Amount to charge

Subtotal Amount to charge

Gift Amount to send check

Total Amount to send check

Total Amount for bill

Appeal code

Cc fee

TOTAL = Subtotal Amount to charge + fee

Request Form

Tickets: $##

Payment Information