Chai Club Donation form.  (click here for the thought process behind the "Chai Club")

 

DONATION OPPORTUNITIES
I want to make a monthly contribution in the amount of:
 $18    $36       $54      $108       $180    $360        
 $720        $1,800    $3,600       other  $ 
 
Recurring Donation  -  To Make a One Time donation Click  Here
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
 

Optional 

In Memory of  
Make a donation in memory of a deceased family member or friend.   

In Honor of
  
Make a donation in honor of someone who has inspired you.
 

INFO                                                           
You already have my information (First Name, Last Name and Phone Number Required) 

Title

 
Last Name*
First Name*
Address
City, State, Zip
Phone*
Email

 
 
PAYMENT
Name on card
Charge Amount  
Card Number
Card Type
CVV Code
Exp. Date  

 

 
ACKNOWLEDGEMENT
Email Address
 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. If you have problems with this form please notify us by clicking here.