Jewish Federation of Victoria and Vancouver Island Donation Form

Type of Donation*

One-Time Donation
Monthly Donations or Installments

Campaign Donation Amount*

Suggested Amounts

$1,000
$500
$360
$180
$54
Other Amount

Add 2.5% to my donation to cover credit card fees.

Total

$0.00

Billing Information

Donor Title*

Donor Name*

Note: Tax receipt will be issued to the payer.

What prompted you to donate?*

Are you between the ages of 20 and 45?*

Is this a joint gift?*

Additional Instructions

Card Information

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Email*

Name*

Credit Card*Secure Payment

Address*

Phone Number*

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