Donation Only Form: FY27 School Supply Packing

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Appeal code
Memo
Notes to internal Federation professionals
School Supply Packing Donation Form
First Name
Last Name
Email

Confirmation EmailConfirm email address
Mobile Phone Number
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Mailing Address

Street Address

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Zip Code
Please select the number of people you are registering including yourself
Additional Participant #1 First Name
Additional Participant #1 Last Name
Additional Participant #1 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Additional Participant #2 First Name
Additional Participant #2 Last Name
Additional Participant #2 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Additional Participant #3 First Name
Additional Participant #3 Last Name
Additional Participant #3 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Additional Participant #4 First Name
Additional Participant #4 Last Name
Additional Participant #4 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Which school packing date do you plan to attend from 3-4:30PM?
Federation event participants will receive a name tag upon arrival (children under 18 will have first names only). If you or any registered guests prefer a different name than what has been provided above, please enter it below.
Families raising children from birth through 12 years old with Judaism as part of their lives are encouraged to sign up for the gift of PJ Library books. PJ Library welcomes all Jewish families, whatever your background, knowledge, family makeup, or observance. Every child in the family is eligible to receive their own age-appropriate PJ Library subscription.
Please choose from the options below to sign up for or let us know if you are already subscribed to receive PJ books.
How did you hear about this event? (check all that apply)
Optional Donation: Help local students start the school year prepared and confident.

Other

I would like to make a contribution to help offset the cost of backpacks and school supplies for students in our community.

$18 provides 2 students with backpacks and essential school supplies

(fees apply)

$18.00

$36 provides 4 students with backpacks and essential school supplies

(fees apply)

$36.00

$54 provides 6 students with backpacks and essential school supplies

(fees apply)

$54.00

Other

(fees apply)

$1.00 Amount you would like to donate $Payment options (fees apply)

Subtotal

Tax

Total

Debit or Credit Card
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Expiration Month	Expiration Year

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School Supply Packing Donation Form

I would like to make a contribution to help offset the cost of backpacks and school supplies for students in our community.