Community & School Donations This form is for donations to the I.L. Peretz Secular Jewish Community and can also be used for I.L. Peretz Secular Jewish Community membership registration. Do not use it for School Membership or Tuition. Name* Other Name Street* City, State, Zip* Phone Number* Email Address* Second Email Address Photo Release I/We permit the use of photographs that depict me/us and my/our child/children for use on the Peretz website and in Peretz marketing materials. Your consent is important to attract new members and keep our community vibrant. No names will be associated with these photos. Community Membership Fee None Individual - $18 Family - $36 Please consider making a donation in honor or in memory of a friend or family member. Donation In Honor Of: Donation in Memory Of: Donation Amount $25 $50 $100 $150 Other No Thank You Total Payment