Online Donation for Jewish Federation Association of Connecticut

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YOUR GIFT

*Donation Amount

Donation Recurrence

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Gift Designation

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Matching Gift Company

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YOUR INFORMATION

Title

*First Name

*Last Name

Name Suffix

*Address Line 1

Address Line 2

*City

*Country

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*State / Province

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*Postal Code

*Email

*Phone

Phone Extension

IS THIS DONATION IN HONOR OR MEMORY OF SOMEONE? YES