The 12th Festival
November 29 - December 9, 2001

Donation Form

Please print and fill out the form below, and mail it back to us with your check or credit card payment.

(We regret that we are unable to accept online payments at this time. We will be equipped to accept secure online donations via credit card in the near future. We apologize for any inconvenience and thank you for your patience.)

Yes, I would like to help raise the curtain on
The 12th Washington Jewish Film Festival...

My tax-deductible* contribution is:

___ EXECUTIVE PRODUCER $7,500 or more
___ PRODUCER $5,000 - 7,499
___ DIRECTOR $2,500 - 4,999
___ LIGHTS $1,000 - 2,499
___ CAMERA $500 - 999
___ ACTION $250 - 499
___ FAN $___________

*Contributions are tax-deductible above the cost of the tickets, to the
extent provided by law. Each supporter will receive a statement specifying
his/her tax-deductible contribution.

Name______________________________

Address____________________________

City/State/Zip_______________________

Daytime Phone______________________

Evening Phone______________________

E-Mail Address ______________________

Name or business as you would like it to appear in Festival Materials:

___ Same as Above
___ Other: (please print)____________________

___ Check enclosed for $___________

Please make checks payable to:
DCJCC/Washington Jewish Film Festival

or

Please charge $_________to my:
___ Visa
___ Mastercard

Expiration Date_________

Credit Card #

______________________________

Signature (required)

______________________________

Mail form and payment to:
DCJCC/Washington Jewish Film Festival
1529 16th Street, NW
Washington, DC 20036

For listing in our Festival materials, we must receive your donation by
June 30, 2001.

(We regret that we are unable to accept online payments at this time. We will be equipped to accept secure online donations via credit card in the near future. We apologize for any inconvenience and thank you for your patience.)