| Chai Club Form | ||
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I want to make a contribution of |
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| Recurring Donation | ||
| Your recurring gift will create an ongoing relationship between you and the Chabad community you are supporting and will join you with the "Chai Club." | ||
| Please charge the above amount to my credit card on the first day of each month for the duration of one year: | ||
| Optional
In Memory of In Honor of |
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* Denotes required field |
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| First Name | ||
| Last Name | ||
| Address | ||
| City* | ||
| State | ||
| Zip Code | ||
| Phone | ||
| Card Number | ||
| Expiration Date | ||
| CVV Code | 3 digits on back of card | |
| Acknowledgement | ||
| Reconfirm Email | ||
| You may acknowledge my gift to my email address | ||
| Please acknowledge my gift by mail to the above street address. | ||
| Please contact me to discuss additional giving opportunities. | ||
| Please click submit only once. Please wait a few seconds for acknowledgement online that your information was received. We will send you a receipt once your donation has been processed. |
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