Donation Only Form: FY27 School Supply Packing

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Appeal code

Memo

Notes to internal Federation professionals

First Name

Last Name

Email

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Mobile Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Mailing Address

Street Address

Street Address Line 2

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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

Additional Participant #2 First Name

Additional Participant #2 Last Name

Additional Participant #2 Date of Birth

Additional Participant #3 First Name

Additional Participant #3 Last Name

Additional Participant #3 Date of Birth

Additional Participant #4 First Name

Additional Participant #4 Last Name

Additional Participant #4 Date of Birth

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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Credit Card Number	Security Code
Expiration Month	Expiration Year

paymentData

The information in the 'paymentData setup' field is copied into this short text field so it can be selected as a 'custom data field' in the Stripe integration settings of the payment field. The 'paymentData setup' field (a Form Calculation field) is used to combine the necessary data for ease of use. However, since the payment widget only allows short text fields as options, the data must be transferred accordingly.

paymentData setup

This field sends data over to stripe which finance needs. The information will auto-populate based on a combination of various fields on the form.

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.