Tribute Form Please complete & select Continue at the bottom of the page To charge by phone (Visa and MasterCard only) please call 248-355-3300, ext. 0 For payments by check, or to fax form with credit card info. please use the Mail-In Tribute Form *Denotes a required field. Donor: *Name:                                                                                          *Email Address: *How do you want your card signed? (ex. Congratulations! From Lou and Dorothy Stein): Donor's Address, if different from billing address provided in payment screens: Honoring:                                                                         In Memory of: Send To: *Name: *Address:                                               *City:                                                   *State:           *Zip:               AK AL AR AZ CA CO CT DE DC FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY               Select *Donation Range (exact amount to be entered on payment page): Blue Card ($10-17)            Silver Card ($18-35)            Gold Card ($36-99)            Personalized Letter ($100+) All Kids Playground card (minimum $10)         Celebrate card (minimum $10)          Thinking of You card (minimum $10) Tributes will be listed in the bulletin *Please Select Desired Fund (all contributions are tax deductible) COMMUNITY SERVICE FUNDS NCJW/GDS Fund Adult Guardianship Review Advocacy and Action Bullying and Abuse in Teen Relationships Children's Advocates - Court Appointed Guardianship Services Community Outreach Domestic Abuse Prevention Doralee & Irving Goldman Community Service Jewish News on Tape Jewish Senior Life Bus Literacy Outreach Next Generation Women's Group Project Friendship with Kadima Schottenfels Community Service Teen Yellow Pages Directory Yad B' Yad for Israel Wrapped in Love Blankets for Children ALL KIDS PLAYGROUND FUNDS All Kids Playground Alex Levitt All Kids Playground Memorial EDUCATION ASSISTANCE FUNDS NCJW/GDS Bessie & Nita Barak Penny & Harold Blumenstein Business & Professional Branch Anna Caplan Memorial Carol Sue & Stephen Coden Scholarship Ruth Frank Memorial Dale & Bruce Frankel Rose & Harry Frankel Henry & Gussie Freund Anita & Joseph Gruen Scholarship Sheila & Martin Guyer Suzanne S. Hopp Child Assistance Raquel & Milton M. Howard Scholarship John, Ella, & Stanley Imerman Scholarship William & Theresa Jacob Dorothy & Harold Kaufman Education Scholarship Audrey & Cyndee Klein Memorial Scholarship Barbara Kuhlik Memorial Terran & Roger Leemis Scholarship Sandra & Arnold Leshman Robert Mersky Scholarship Fund for the Arts Sondra & Bennett Nathan Scholarship Charles F. Rosen Scholarship Deane & Barry Safir Jerry & Libby Sherbin Vera Parshall Shiffman Scholarship Marilyn & Jerome Soble Jerome Soble Fund for the Creative Arts Benjamin D. & Elsa F. Welling Scholarship Wetsman Family Bess Fishman Wilk Scholarship Ruth Rothschild Wolf Ann & William Zousmer Scholarship Julie & Richard Zussman The Women of Maimonides Medical JEWISH YOUTH AWARD FUNDS Jewish Youth Awards Dina and Herman Brodsky (z'l) Jewish Youth Awards Esther & Nathan Katz Jewish Youth Awards KOSHER MEALS ON WHEELS FUNDS Kosher Meals on Wheels Deanna Averbuch Meals on Wheels Edith & Donn Resnick Meals on Wheels Joe & Beatrice Scherr Meals on Wheels Victor & Freddy Shiffman Meals on Wheels LECTURE FUNDS Joyce M. Seigel Lecture Fund LITERACY ENRICHMENT FUNDS Judy & Michael Samson Literacy Enrichment Fund SAFE PLACE, KOSHER SHELTER Safe Place Fund Frankel and Nyman Families Safe Place Endowment SPACE for CHANGING FAMILIES FUNDS SPACE - For Changing Families Carol Krugel SPACE For Changing Families UP AND OUT FOR SENIORS FUNDS Up and Out J/E Narens Family Endowment Fund of Up and Out Harold Soble Up and Out Endowment VOLUNTEER FUNDS Ann Rubin Volunteer Award YOUTH FUNDS Judith Freund & Garber Family Foundation Narens Family Endowment Arlene & Eric Oppenheim Reading Education Sydney & Norman Stern Youth Subsidy