About JA New York
Programs
Volunteering
Support JA New York
Donate Now
Donation Information
Amount:
A JA Job Shadow for 5 students
$ 250.00
JA Program Kit for a classroom
$ 100.00
A JA Job Shadow for a student
$ 50.00
A share of a JA Program Kit
$ 25.00
Other (for memorial or tribute gifts see below):
$
*
Additional Information
Type of gift:
One-time gift
Monthly/Recurring gift
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
Billing Information
Title:
<Please select>
Admiral
Ambass. & Mrs.
Ambassador
Brother
Capt.
Cmdr.
Col.
Deacon
Dr.
Drs.
Father
General
Governor
H.R.H.
Judge
Lady
Lt.
Madam
Major
Master
Miss
Mr.
Mrs.
Ms.
Officer
Principal
Prof.
Rabbi
Reverend
Senator
Sgt.
Sir
Sir/Madam
Sister
The Honorable
*
First name:
*
Last name:
*
Country:
United States
*
Address lines:
*
City:
*
State:
<Please Select>
Ont
AA
AE
AL
AK
AB
AS
AP
AZ
AR
BC
CA
CZ
CO
CT
DE
DC
DF
FM
FL
GA
GU
HI
ID
IL
WB
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
UK
UT
VT
VI
VA
WA
WV
WI
WY
YT
VIC
NSW
VC
*
ZIP:
*
Phone:
Email:
*
Payment Information
Cardholder's Name:
*
Credit Card Number:
*
Card Type:
Visa
American Express
Discover
Maestro
MasterCard
*
Valid From:
01
02
03
04
05
06
07
08
09
10
11
12
/
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
(Maestro/Switch/Solo only)
Card Expiration:
01
02
03
04
05
06
07
08
09
10
11
12
/
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
*
Issue Number:
(Maestro/Switch/Solo only)
Card Security Code:
*
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:
In memory of
In honor of
*
Name:
*
First name:
Last name:
*
Mail a letter on my behalf to
*