Annual Support Mail-in Form Please Complete & Print Donor: Name:                                                                                           Email Address: Address:                                                 City:                                                     State:     Zip:                                    I wish to contribute: $  Check here if you do not wish to be listed in the Bulletin. Payment Method: Cash Check Visa Mastercard Check#: Acct No: Exp: Signature:_________________________________________________________________________________________________ (Make Checks payable to NCJW/GDS) MAIL FORM AND PAYMENT TO: NATIONAL COUNCIL OF JEWISH WOMEN, GREATER DETROIT SECTION 26400 Lahser Road, Suite 306 Southfield, Michigan 48033-2675 The National Council of Jewish Women is recognized as a tax exempt organization under Section 501(c)(3) of the Internal Revenue Service Code. All Gifts are tax deductible to the fullest extent provided by law.