DJCS Olive Tree Project

Please fill out the form below and submit it online by using the SUBMIT button at the bottom. If you make a mistake, just press the CLEAR button to start over.

No payment need be made by Internet - This is just a Pledge!

First Name(s)		(Required)
Last Name(s)		(Required)
Address
Apt.
City
Province
Postal Code
Home Phone
Work Phone
E-Mail Address
Are you a member of the Miles Nadal JCC? Yes No

I / We wish to donate:
		root(s) at $1500 ea. (limit of 10)
		branch(es) at $1000 ea. (limit of 20)
		limb(s) at $ 500 ea. (limit of 40)
		olive(s) at $ 50 ea.
		silver leaf/leaves at $ 180 ea
		bronze leaf/leaves at $ 90 ea.
In honour of: (please indicate the name of the people or the event you wish to honour)
I / We prefer to remain anonymous (please check box)
If your pledge is in honour of someone you would like us to notify (friend, member of the community, teacher, etc.) we will be delighted to send a card on your behalf. Please indicate the person(s)full name and address above.
Based on my selection, I will forward a cheque made out to "DJCS" for a total of $ (Required)
Pledges are tax deductible to the fullest extent allowed by law. You will receive a tax deductible receipt for 2005 if your payment is received before Jan. 1, 2006. Pledges are non refundable.
Please mail your cheque or drop it off at the following address: DJCS c/o Joan Schoenfeld, Principal 750 Spadina Avenue Toronto, Ontario M5S 2J2
Thanks for making our Olive Tree grow!

Note: When you see the "Thank you for your support" button pop up, your pledge has been sent. If you have problems submitting this form, please print and fax to Joan Schoenfeld, principal (416) 924-0442.