pledge form

Annual Campaign Pledge Form

The annual Federation campaign is held in the Fall of each year to raise funds for the following fiscal year, January through December. The Federation board needs to know by no later than December of the proceeding year what funds it will have to allocate for the following fiscal year.

Please use the pledge sheet below to establish your donation, if you have not already done so, for the next fiscal year or to add to a pledge previously made for this year.

1. Fill in the blanks. 2. Print out completed form. 3. Mail with payment to:
Jewish Federation of Lane County,
P.O. Box 5924
Eugene, OR 97405

Name:
Address 1:
Address 2:
City:	State: Zip Code:
Home Telephone:
Work Telephone:
E-mail Address:

My Total Pledge for 2011:	Your donation will be allocated at the discretion of the JFLC board unless otherwise indicated. I would like my donation allocated as follows: United Jewish Communities: Local Needs:

Gift Categories
$1 - $99 $100 - $249 $250 - $499 $500 - $999 $1,000 - $2,999 $3,000 and up	Chaverim (Friends of the Federation) Shamas (Helpers) Shamer (Guardians) Bonim (Builders) Mitzvah Circle (Good Deed) Tsadik Circle (Righteous)

Options:		Anonymous (Use “Anonymous” instead of my name)
		Anonymous Gift (If you want your name listed in a category named “Anonymous Gift”)

Thank You! All contributions are tax deductible to the extent allowed by law. Please be sure to have your payments in by December 31, to take advantage of this deduction for the current year. Gifts may be paid in any amount at any time. We will mail periodic reminders for pledge balances. Please schedule pledges to be paid by Jun 30.

2012 Pledge Campaign: All Federation activities are funded by community donations