Gilda's Club South Jersey
555 Bay Avenue
Somers Point, NJ 08244
609-926-2699 phone
609-926-2688 fax
info@gildasclubsouthjersey.org

 
Donor Information
Donor Name(s):  
Address:  
City:  
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Phone:  
 
Payment Method
Please charge the following credit card:
Discover  
American Express  
Visa  
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My name as it appears on this card:
Credit card number:
Expiration date:
Please charge my credit card in:
a single payment  
monthly installments  
quarterly installments  
semi-annual installments  
 
Choose a donation option and enter your donation amount:
 
Annual Contributor $25 to $99 $
Gilda's Friends $100 to $249 $
Gilda's Partners $250 to $499 $
Gilda's Sponsors $500 to $999 $
Major Donor Program $1,000 and up $
 
Larry Alper Boardwalk Mural
Engraved Boardwalk Plank $100 to $499 $
Engraved Ferris Wheel Gondola $500 to $999 $
Engraved Pier Marquee $1,000 to $1,999 $
Engraved Sailboat $2,000 to $2,500 $
Please engrave the following: (we recommend no more than 50 characters)
This gift is a:
general gift:  
gift in honor of:  
gift in memory of:  
gift for this special occasion:  
 
All donors will receive a letter acknowledging their tax-deductible contribution
 
Send an acknowledgment card; to:  
Name:
Address:
City/State/Zip
Phone:
     
I wish for this to be an anonymous donation
I/We wish to transfer securities/stocks
I will be contacting my employer and sending a matching gift form to increase my gift
I/We have included Gilda's Club South Jersey in my/our will
I/We have included Gilda's Club South Jersey in my/our trust agreement
 
  Additional comments or instructions:

 
Gilda's Club South Jersey thanks you for your generous support.
     
     

 

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