Help Us Stay Current

Please take the time to help us by updating your contact preferences and information. We hope to stay relevant and current with our connection to you. We value your privacy, information collected is not sold or shared with any third-parties. All information collected is used only in-house between staff members.

If you and your business donate or communicate with Jericho Road, please fill out a separate profile for both you and business. If your personal and business email are the same, please apply it only to one profile.

Please do not fill out a separate form for your spouse, as there is a section for spouse info.

Contact Preferences
What is your preferred contact method? *
How would you like to receive your end-of-year tax receipt? *
Contact Information
Legal Name *
Legal Name
Please provide your full legal names for receipting purposes.
Preferred Name
Preferred Name
Phone
Phone
Mobile Phone
Mobile Phone
Address *
Address
Spouse Contact Information
Spouse Legal Name
Spouse Legal Name
Spouse Preferred Name
Spouse Preferred Name
Spouse Phone
Spouse Phone