Calendar Campaign

JACKSONVILLE JEWISH COMMUNITY CALENDAR
Yes! I would like to support the Calendar Campaign and share a greeting with the community
Full Name*

First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
L'Shana Tova Greeting*

$36$50$100
Name to appear in Calendar*
Please include the following names for Yartzeits, Birthdays, Anniversaries, to be included in the Calendar

Please submit the name, date and occasion as you would like it to appear in the Calendar
Birthday, Yartzeit, Anniversary

$72$100
Name, Date & Occasion
Birthday, Yartzeit, Anniversary

$72$100
Name, Date & Occasion
Birthday, Yartzeit, Anniversary

$72$100
Name, Date & Occasion
Birthday, Yartzeit, Anniversary

$72$100
Name, Date & Occasion
Total

$0.00

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

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