AJFCA Friends Fund Campaign

It is my pleasure to add my support to the Association of Jewish Family & Children's Agencies
with a contribution of $.

Name(s):
Address:
Phone:
E-Mail:

Method of Payment

Check enclosed payable to AJFCA
Credit Card
Discover   Visa   MasterCard   American Express
Credit Card Number:
Expiration Date:	(MM/YY)
Cardholder's Name:

Note: We cannot offer a "secure" e-mail connection, and there is
a remote possibility that your credit card information could be obtained by others.
If you prefer, please call 800-634-7346 with your credit card information.

To submit your donation by postal service,
please print this form and mail it with your check to:
AJFCA, 620 Cranbury Road, Suite 102, East Brunswick, NJ 08816

THANK YOU FOR YOUR SUPPORT