Centerpiece for Tzedakah Order Form

Please print out this order form and send to:

Centerpiece for Tzedakah, Jewish Family Service, 11223 Cornell Park Drive, Cincinnati, OH 45242 or FAX to (513) 469-1195

Please allow 3 weeks notice with your order

Name:

 

Address:

 

City:

 

State

 

Zip

 

E-Mail

 

Phone-day

 

Phone-evening

 

Phone-cell

 

Today’s date

 

 

 

Type of Event: (please check)

 4th of July

 Anniversary

 Baby Naming

 Baby Shower

 Bar/Bat Mitzvah

 Bimah Basket

 Birthday Party

 Bris/Brit Milah

 Engagement Party

 Gala

 Graduation

 Hannukah

 New Year’s Eve

 Pesach

 Purim

 Rehearsal Dinner

 Rosh Hashanah

 Shabbat Dinners

 Simchat Torah

 Sukkot

 Thanksgiving

 Wedding Shower

 Wedding

 Other:

Location of event:

 

Date of event:

 

A volunteer will contact you for your color choices

 

Number of baskets

Price per basket

Total Price

 

 

@ $18.00 (Small Centerpiece)

 

 

 

@ $36.00 (Medium Centerpiece)

 

 

 

@ $54.00 (Large Centerpiece)

 

 

 

@ $90.00 (Bimah Centerpiece)

 

 

Optional Pick up & Delivery

    $60.00

 

Total Centerpieces

 

Total Payment Due:

 

Method of Payment:

  Check enclosed made payable to Jewish Family Service

  Please charge my account to:   VISA     Mastercard   American Express   Discover

Card number / Exp. Date:

 

Signature:

 

 

Thank you. Your donation is tax deductible.

 

For more information, contact Fran Gafvert at 513-766-3324 or email fgafvert@jfscinti.org