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JCCI & JCCI Forward Memorial and Tribute Gift Donor Information Form *Gift Type:

 Memorial Commemorate a friend or loved one with a gift that continues to improve the quality of life in Jacksonville. We will send a notification of your gift to friends and family at no additional charge (optional).  Tribute

Perfect for birthdays, holidays, weddings, anniversaries, mother's day, father's day, graduation, congratulations...honor friends and family with a gift in their name. We will send a notification of your gift to friends and family at no additional charge (optional).

 Occasion (please specify) Honoree Information Who would you like to remember or honor today? First:

Last:

Would you like us to send a notification of your contribution?  Yes  No Where would you like the notification sent? Name: Address: City:

State:

Zip:

How would you like your name printed in the notification? Donor Information First:

Last:

Address: City:

State:

Phone:

Zip:

Cell:

Email Address: Payment Checks may be mailed, along with this form, to our office. If you are making your gift with a secure, online donation, please visit http://community.jcci.org/donate and your form may be mailed, faxed or emailed. JCCI - Jacksonville Community Council Inc. 2434 Atlantic Blvd. Jacksonville, FL 32207

Fax: 904.398.1469 Email: molly@jcci.org

For more information, please contact the Development Office at 904.396.3052.


JCCI Memorial & Tribute Gift Donation Form