Food Basket Centerpiece Order Form

Person Submitting Order*

First

Last

Email Address*

Phone Number*

First Family

Name of Family*

Address*

Home Phone*

Work Phone

Second Family

Name of Family

Address

Home Phone

Work Phone

Event Details

Note: All orders require three weeks' advance notice.

Event Date*

Date Needed*

Time Needed*

In Honor Of*

Event Occasion

Event Location*

Location/Catering Contact*

Order Details

Bema Baskets

Elegantly adorned bema basket filled with kosher food or faux fruit. Customizable according to the colors of your choice!

Qty ($108 each)

Enter the quantity of Bema Baskets
you would like to order.

Bema Basket Type

Please selectFoodFruit

Table Baskets

Elegantly adorned bema basket filled with kosher food or faux fruit. Customizable according to the colors of your choice!

Qty ($54 each)

Enter the quantity of Table Baskets
you would like to order.

Table Basket Type

Please selectFoodFruit

Customization

Design your card:

A card will be attached to every basket. Please fill in the blanks, or enter your own custom text.

The [ENTER FAMILY NAME] Family(ies) is/are pleased to make a donation to the JFS Food Bank Program in honor of [PERSON HONORED] on the occasion of his/her/their [ENTER EVENT (e.g. wedding, engagement, bar/bat mitzvah)]

Colors requested for ribbons:

Payment

Method of Payment*

Visa

Mastercard

Check

• A JFS representative will contact you to complete credit card transactions.
• Full payment is due three weeks in advance.

Questions? Call (206) 461-3240.

• Please make checks payable to Jewish Family Service.
• Full payment is due three weeks in advance.

Questions? Call (206) 461-3240.

Mail checks to:
Attention: Food Basket Centerpiece Project
Jewish Family Service
1601 16th Avenue
Seattle, WA 98122

Submit Order

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The Internal Revenue Service recognizes Jewish Family Service of Seattle (JFS) as a Section 501(c)(3) public charity. Gifts to JFS are tax deductible in the U.S.A. Our Federal Tax ID # is 91-0565537.