Donation Form: Save Our Sacred Water

Please call the office with any questions at (845) 679-2218

If you are renewing your membership please log into your account HERE.

* First Name

* Last Name

Second Person First Name

Second Person Last Name

* I would like to donate:

Please insert amount.

* What is your connection to the WJC?

* Email Address

City

State

Is this gift in honor or memory of someone?

No dedicationIn honor of...In memory of...

This gift is made in honor of:

This gift is in memory of:

Who can we notify that you've made this donation?

Please provide contact information (name, email, address) for those who are not members of IHC.

How would you like your name to be listed?

I prefer to remain anonymous

Total

Tue, April 23 2024 15 Nisan 5784