Atlanta Jewish Academy

Donor Information

First Name: *

Last Name: *

Company Name:

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Preferred Contact Number:

E-mail: *

A receipt will be e-mailed to this address.

What is Your Relationship
to the School:

Other:

Raffle Entry:

If you give $180 or over before November 15, you can be entered into a raffle.

Matching Gifts

My company will match my gift.

Your Payment Information

Name on Card:

Card Number:

Security Code:

Expiration Date: