Credit Card Donation Form

Value:

$25	$50	$75
$100	$150	$200
$250	$500	$1000
Other	$

To:

Revive Israel
Specific Project:

You:

Name:
Address:
City:
State:
Zip:

As an Israeli non-profit corporation, Revive Israel, has a partnership with Tikkun International, a U.S. 501(c)(3) non-profit corporation, to process donations and administer associated disbursements according to IRS regulations. By serving Revive Israel in this way, Tikkun International enables U.S.-based Revive Israel donors the ability to receive a tax donation for qualifying contributions. The Boards of Directors of Tikkun International and Revive Israel cooperatively direct the gifts given in this partnership.

The Tikkun office will mail donors an annual consolidated IRS 501(c)(3) receipt for any donations made in the current year. The receipts are postmarked and mailed on or before January 31^st of each following year.