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Gift Form

Gift Form

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MAKE A GIFT TO CHABAD UMC TODAY!
Make a one-time gift or join our monthly Chai Club!

 

Please fill out this form to make your gift  to Chabad. 
After filling out the form, click the 'Submit' button below
 

  Your Information:  
 Name  
 Address  
 City, State  
 Zip  
 Daytime Phone  
 Email  

  

One Time Gift
I would like to make a one-time gift of:
 
 
$1000  $613  $500  $360   $250 $180   Other  
 
 
 
Monthly Chai Club
I would like to make a monthly gift of:
 
 $180 $100 $72 $54  $36  Other  
 

  I understand that my monthly gift will be automatically withdrawn from my credit card on the 19th day of each month.  I may cancel credit authorization at any time with written notice.

 
 
 
 
 

Please make my gift in honor of or in memory of:   

 
 

  

  Payment Information:

Credit Card #

Exp. Date (MM/YY)
Security Code

   

 

 

 

 

 

  
paypal.jpg 

  

Thank you for your generous support.
All contributions are tax deductible.

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