Donation Please indicate the quantity you would like for each type of donation shown below. Then click on "Continue" to confirm your order selections and total. After that we will ask for your name and address information and your payment information to complete your order on our secure server.   $18 I hereby authorize Hadassah Southern California to charge my credit card a one-time gift of   Order at $18.00 each     $36 I hereby authorize Hadassah Southern California to charge my credit card a one-time gift of   Order at $36.00 each     $72 I hereby authorize Hadassah Southern California to charge my credit card a one-time gift of   Order at $72.00 each     $100 I hereby authorize Hadassah Southern California to charge my credit card a one-time gift of   Order at $100.00 each     $126 I hereby authorize Hadassah Southern California to charge my credit card a one-time gift of   Order at $126.00 each     $250 I hereby authorize Hadassah Southern California to charge my credit card a one-time gift of   Order at $250.00 each     $500 I hereby authorize Hadassah Southern California to charge my credit card a one-time gift of   Order at $500.00 each     $1000 I hereby authorize Hadassah Southern California to charge my credit card a one-time gift of   Order at $1,000.00 each     Other I hereby authorize Hadassah Southern California to charge my credit card a one-time gift of (Please tell us how much you want to contribute)   Enter the amount of your choice. Two decimal places (.00) will be assumed unless you enter a decimal value. Minimum: $5.00

Activity Questionnaire Hadassah Southern California has requested that its customers provide the following information to better help it fulfill your order. Required questions must be answered in order to complete your order.    Are you responding to an appeal you received in the mail?   YesNo Hold down the "Ctrl" key to select multiple responses.  Would you like us to contact you about monthly or quarterly gifts charged automatically to your credit card? **Required YesNo  Would you like us to contact you about putting Hadassah Southern California in your will? **Required YesNo  This donation is made In Honor of (IHO)        This donation is made In Memory of (IMO)        If IMO/IHO, please provide us the Name, Address, City, State, Zip        IHO/IMO From Whom?        Message on the card

Hadassah Southern California Purchase/refund policy: No refunds allowed. Acteva's Purchase/refund policy: Refunds and cancellations are provided only at the discretion of the organization hosting or sponsoring this event. Acteva.com issues credits only when directed to do so by the sponsoring organization. Contact refunds@acteva.com or the sponsoring organization for further details.