Donation Information
Amount:	Helps provide 1,250 meals $ 250.00 Helps provide 1,000 meals $ 100.00 Helps provide 500 meals $ 50.00 Helps provide 300 meals $ 30.00 Helps provide 100 meals $ 10.00 Other $     *
Additional Information
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
Corporate:	This donation is on behalf of a company
Anonymous:	I prefer to make this donation anonymously
Billing Information
Title:	Mr. Ms. Mrs. Dr. Sister The Reverend Rabbi Pastor Bishop The Honorable Judge
First name:		*
Last name:		*
Country:	Canada England United States United Kingdom United States of America	*
Address lines:		*
City:		*
State:	<Please Select> AA AE AL AK AB AS AP AZ AR BC CA CZ CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MB MH MD MA MI MN MS MO MT NE NV NB NH NJ NM NY NL NC ND MP NT NS NU OH OK ON OR PW PA PE PR QC RI SK SC SD TN TX UT VT VI VA WA WV WI WY FR IT JP YT ZZ	*
ZIP:		*
Phone:
Email:		*
Payment Information
Cardholder's Name:		*
Credit Card Number:		*
Card Type:	Visa American Express Diners Club Discover JCB MasterCard	*
Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043	*
Card Security Code:		*
Tribute Information
Type:	in honor of in memory of	*
Name:		*
First name:
Last name:		*
	Mail a letter on my behalf to	*

Verification of our status as a tax-exempt charitable organization is available from the Charities Registry on the New York State Attorney General’s website (www.charitiesnys.com) or, upon request, by contacting the New York State Attorney General, Charities Bureau, 28 Liberty Street, New York, NY 10005, or us at 555 Broadway, Dobbs Ferry, NY 10522. You may also obtain information on charitable organizations from the New York State Office of the Attorney General at www.charitiesnys.com or (212) 416-8401.