Jewish Family Services 877 Madison Avenue Albany, NY 12208

__ I am enclosing my gift of Membership in the JFS Friends Society

	___ Chaver (Friend): $25-99	___ Ozer (Helper): $100-499
	___ Mitzvah Circle: $500-999	___ Boneh (Builder): $1,500-2,499
	___ Chesed (Kindness): $1,000-1,499	___ Shomer (Guardian): $2,500+

 ___ Enclosed is my check in the amount of $____________

 ___ Please charge my gift of $__________ to my ___ MasterCard ___ Visa ___ American Express

Acct.#_______________________________________________________ Exp. Date ________________

Name on Card _________________________________________________________________________

Signature ______________________________________________________________________________

Your contribution of $500 or more gives you the opportunity to target your contribution.

I want my contribution of $________ to be used for the following JFS program area:

• Senior Adult Services
• The Center for Visitation & Family Services
• Jewish Community Outreach
• Project Five
• NNORC