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Donation Information

Amount:

A share of a JA Program Kit

$ 20.00

JA Job Shadow for a student

$ 50.00

JA Program Kit for a classroom

$ 100.00

JA Job Shadow for five students

$ 250.00

Other (for memorial or tribute gifts see below):

$

*

Additional Information

Type of gift:

One-time gift
Monthly/Recurring gift

Frequency:

On:
Starting: Ending:

Corporate:

This donation is on behalf of a company

Billing Information

Title:

*

First name:

*

Last name:

*

Country:

*

Address lines:

*

City:

*

State:

*

ZIP:

*

Phone:

Email:

*

Payment Information

Cardholder's Name:

*

Credit Card Number:

*

Card Type:

*

Valid From:

/	(Maestro/Switch/Solo only)

Card Expiration:

/

*

Issue Number:

(Maestro/Switch/Solo only)

Card Security Code:

help

*

Note: The Card Security Code is not required for Maestro, Switch and Solo cards.

Matching Gifts

My company will match my gift

Company:

*

Memorial / Tribute Information

Type:

*

Name:

*

First name:

Last name:

*

Mail a letter on my behalf to

*

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Junior Achievement of New York never shares or sells donor’s personal information
with any organization or individual and we do not send donor mailings on behalf of other organizations.