Signup – The OJC Fund

Signup
Authorization
Withdrawal Schedule
Donations
Certificate Order

Primary Account Holder Information

Title (Rabbi, Mr., Ms., Etc.)

First Name (required)

Last Name (required)

Home Address (required)

City

State

Zip

Home Phone

Cell Phone

Your Email (required)

Name of Business, Trust or Foundation (Required if you plan to donate from a Corp., LLC, Trust or Foundations)

Business Phone (Ext.)

Your Plan: Pre-Paid Account

Account Name (e.g. Fried Family Fund):

Name you would like to designate for your DAF account (Name will be released upon the organization's request)

Account name may be changed at any time at your request