Please print, fill-out, and return by mail.

1. Purchaser Information

Your Name:

____________________________________________________________

Your Street Address:

____________________________________________________________

Your City, State, Zip Code

____________________________________________________

Your email address

_________________________________________________________

Your phone number

_________________________________________________________

 

2. Purchase Tribute Cards

Type of Card     Quantity Price per Type Total Earmark for General Donation or HIPPY

one $5 card     _______ x $5 = ________________________

five $5 cards* _______ x $25 = _______________________

one $18 card   _______ x $18 = _______________________

one $25 card   _______ x $25 = _______________________

one $50 card   _______ x $50 = _______________________

other (you designate) _______ x $ ____________________

$______ total amount due

*a tally of the cards you have purchased and sent will be kept so you can have an account of open cards.
Contact tributecards@ncjwmilwaukee.org to send cards from your account

 

3. Send Tribute Cards (purchased above)

If you are sending more than one card, please use the back of this form for the additional cards.

Type of card _______________________________________________________

Honor/Memory _____________________________________________________

Occasion __________________________________________________________

Recipient Name: ____________________________________________________

Address: __________________________________________________________

City, State, Zip ______________________________________________________

 

4. Mail Payment and Form

Please make out check for the total amount due to NCJW Milwaukee Section
Send the check and this form to:

Sue Strait
NCJW – Milwaukee Section – Tribute Cards
9086 N Tennyson Drive
Milwaukee, WI 53217