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JCC on the Hudson Contribution Form
Please print, complete, and return this form with your contribution.

JCC on the Hudson

371 South Broadway  Tarrytown, NY  10591
Tel:  914-366-7898
Fax:  914-366-7434

Name___________________________________     Address___________________________________________

City____________________________________State________Zip_________________Phone________________

 

____Enclosed is my check, payable to the JCC on the Hudson.

____Credit Card     ____Debit Card   #_____________________________Expiration____________________


Signature_________________________________________________________________________________

____$1,000+Founder ____$500-$999 Builder ____$250-$499 Benefactor
____$100-$249 Patron ____$99 Friend

Please indicate if you would like to direct your gift to a specific program or fund. 

___Early Childhood/Nursery School  

Children's Fund 

___Youth & Teen Services 

Children's Fund

___Jewish Education

Jewish Education Fund

___Adult Education & Services

Weinberger Adult Education Fund

___Camping Services

Children's Fund

___Special Needs

Frishman Family Fund

___School of Music and Performing Arts

___Senior Service/Kosher Meals

Lillian Elkin Fund

___ Women's Health Education Esther Koven Fund
___Shames Scholarship Fund: Gifts provide financial assistance to needy families and children for all JCC program sand services.
___Tribute Fund: A meaningful way to honor, congratulate or memorialize a loved one. 
___Building/Endowment Fund: Gifts are used to endow JCC program and facilities today and in the future.

                                                      
To  create your own endowment fund or create a planned giving arrangement or bequest please contact Frank Hassid, Executive Director,
at 914-366-7898, ext. 106.

Thank you for your gift.