Brick/Paver Form

Send a tribute or memorial gift to recognize every milestone in life. When you donate, recipients receive a card recognizing the meaningful gift.

Tribute Card Information

Amount

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Tribute Message

I would like to dedicate this donation

Complete the following fields.

Type of Tribute

Tribute Name

Send Tribute Card to:

Title

First Name

Last Name

Address

Address 2

City

State/Province

Zip/Postal Code

Contact Information

First Name

Last Name

Company Name

Address

Address 2

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

Yes! I want $20.00 to go to Kaiserman Jewish Community Center and I will donate $20.60.No. I will donate $20.00 and Kaiserman Jewish Community Center will cover the processing costs.

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.

Liability Waiver
By submitting this form, I release, hold harmless, and indemnify the Kaiserman JCC and the Jewish Federation of Greater Philadelphia, as well as it’s agents and employees, from and against any liability on their part, of any kind whatsoever, which may arise in any manner, from use of the JCC’s facilities.