Capital Campaign Form Your Donation I pledge a donation of: $ to the Fire Island Synagogue Capital Campaign. Your Information First Name* Last Name* Your Email* Phone* Street Address* City* State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Naming Recognition For donations of $1,800 or more, please complete the following: I am interested in Naming Recognition: YesNo (if yes, a Board representative will contact you to discuss details) Secure Payment Payment selected: By checkBy credit card I consent to my submitted data to be stored by FIS