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Donate Form

Donate Form

I want to make a contribution of:
$ U.S.D.


With your contribution our Chabad Houses
can continue to offer an array of
Jewish life-cycle services to the Jewish
community of Downtonwn Chicago.

All donations are tax-deductable


Optional:

Program

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 or to celebrate
a joyous occasion.

Details:

* Denotes required field

Title

First Name *

Last Name*

Credit Card Type

Credit Card # *

Exp. Date *

Security Code *

Address Line 1 *

Address Line 2

City *

State

Post Code

Country *

Phone

This is my: home business address.


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.

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