YES! I want to join the Chai-For-Life MGP and have a share in Chabad’s vital Outreach Activities.
 

First name:  Last name:

Email addres:

 One Time Contribution

Use this area for any one time donation or payment.  Please indicate in the comments, what the donation or payment is for.  

Please choose one of the following amounts:

  • $1800
  • $1,080
  • $540
  • $360
  • $180
  • Other

Please enter amount $

 Please charge my credit card one time for the amount selected above.

I will send a check. 

My monthly gift will be:

Please choose one of the following amounts: 

  • $180 (10 x Chai)
  • $108 (6 x Chai)
  • $54 (3 x Chai)
  • $36 (2 x Chai)
  • $18
  • Other

Please enter amount $

Please withdraw the amount from my credit card on the first day of each month. Credit authorization may be cancelled at any time with written notice.

I will send a check. Kindly bill me each month.

Address:

City:  State:  

Zip Code:  

Card type: 

Card number:

Expiration - Month:  Year: 

3 (for Amex 4) digit security code:


 

Thank you for your generous support. All contributions are tax deductible. Checks can be made payable to Chabad of West Orange County. 

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