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Join Club Chai

Join Club Chai

Club Chai

Give Chai (life), it works wonders.

Yes! I want to join Club Chai.

Yes! I want to make a monthly contribution of:

$ US    
Please bill me
Please charge my credit card
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:
* 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.
Recurring donation:
Please charge the above amount to my credit card each month for the next twelve months.




Payment by Check:
If you would like to submit a check for your dedication, please print out this page and send the completed form along with your donation to:

Chabad Jewish Center of West Pasco
10733 Maple Creek Drive Suite 101
Trinity, FL 34655

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.

For additional donation and sponsorship opportunities please click here

Notes/Comments

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