South Florida Interfaith Worker Justice-Secure Server Contribution Form

Yes! I / We want to support the South Florida Interfaith Worker Justice
and make a difference for working people.

All contributors will receive national Interfaith Worker Justice quarterly newsletter, Faith Works.
Please note that all fields with an asterisks ( * ) are required.

For a printable form you can mail or fax to SFIWJ, please [click here for form]

*I am contributing as:
Congregation / Organization (if applicable) :
Faith Tradition:

Title:
*First Name:
*Last Name:
*Street or P.O. Box:
Apt./Suite/Floor # :
*City:
*State:
*Zip Code:
*E-mail:
Daytime Phone:
Evening Phone:

Appeal Code:
*Contribution Amount: $	.00
*Frequency:

*Credit Card Type:
*Credit Card Number:
*Expiration Date:	/

I would like to get information about how to include SFIWJ in my will:	Yes No
Contact me about getting my congregation or union involved:	Yes No
Please add my friends or family to your mailing list: (Name, Address and/or E-mail)

Optional Information
This gift is being made in honor of in memory of
Please send notification to:

After ensuring that all the above information is correct,
please click the "Submit Form Now" button ONLY ONCE

About SSL Certificates

��