Printed from ChabadJewishLife.org

Support Chabad

Support Chabad




Secure Donation / Payment Form

To use this form for payment for program or activity please indicate details in comments box at bottom.


CHABAD CENTER FOR JEWISH LIFE is funded solely by contributions of local individuals, families and businesses. It is only through your generosity that we are able to provide our large array of programming.

I want to make a contribution/payment of    
$25.00 $
US Dollars

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)

Name:
Please direct my contribution/payment to:
     
* Denotes required field
Title*    
First Name*    
Last Name*    
Address Line 1*    
Address Line 2    
City*    
State*    
Zip Code*    
Country    
Phone    
This is my home business address.  
       
Card Type*    
Card Number*    
Expiration Date*    
CVV Security Code* What's This?    
       
Acknowledgement
Email Address*
Reconfirm 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 mail me a Chabad Pushka (Charity Box).
Recurring donation:
Please charge the above amount to my credit card each month for the next twelve months.
       
Comments

MAIMONIDES EDUCATIONAL CENTER/CHABAD CENTER FOR JEWISH LIFE is a 501-C-3 tax exempt organization.

Secure This page uses 128 bit SSL encryption to keep your data secure.