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To Show Your Support For Our Residential Program

Please print this form and indicate the recipient of your contribution:

___Shalom House (established in 2001)
___Simcha House (opening in 2007)
___Keshet House (opening in 2009)

Enclosed is my tax-deductible donation in the amount of $_______________

____Enclosed is my check
____Please charge my VISA/MasterCard/American Express

Card# _______________________________________ exp. date ____________

Name ________________________________________________________

Address ______________________________________________________

City ______________________________________State _______ Zip __________

E-mail ____________________________ Phone ____________________________


Please mail this form and your tax-deductible contribution to:
Council For Jews With Special Needs
12701 N. Scottsdale Road, Suite 205 
Scottsdale, Arizona 85254

The Council For Jews With Special Needs is a constituent agency of the Jewish Federation of Greater Phoenix: www.jewishphoenix.org