Jewish Records Indexing - Poland

CANADIAN CONTRIBUTION FORM and INSTRUCTIONS

Jewish Genealogical Society of Canada (Toronto)
265 Newton Drive
Toronto, ON  M2M 2P5

Please accept my contribution to Jewish Records Indexing-Poland in

the amount of C$______ equivalent to US$_____ at current rate of 1 CAD = 0.980392 USD

My contribution is for (check appropriate box and enter details)

[ ] JRI-Poland ________________(enter Project Name) indexing project

[ ] JRI-Poland General Indexing Fund

If your employer has a matching gift program, please think about matching your JRI-Poland donation through that program.

Reminder: Payee for your cheque should be "JGS of Canada (Toronto)"

Name of Contributor ___________________________________________
Street and House Number ___________________________________________
Apartment Number ___________________________________________
City ___________________________________________
Province ___________________________________________
Postal Code ___________________________________________
Email Address ___________________________________________

Jewish Records Indexing - Poland, Inc. is a non-profit 501(c)(3) organization.
Contributions to Jewish Records Indexing - Poland are tax-deductible in the U.S. and Canada to the extent permitted by law.