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Online Reservation , Payment or Donation

Online Reservation , Payment or Donation

I want to make a reservation for an event

I want to make a contribution or payment of: $ US


Type of Activity-Class-Event-reservation or sponsorship

 

Please, Complete the E-Form


In Participation of Make a payment of an activity, class, or event.

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-event-celebration-activity.


Other Activity-Class-Event-Sponsorship:

Sponsorship of an Activity, Event, Fundraiser, or Special Celebration
Class
Annual Event
Special Celebration
Activities with Dinners-Festive Galas (including in Rosh Hashanah, Sukkot, Purim, Pesach-Passover Seder as well as "Turn Friday Night into Shabbat")
 
 
Number of Attendees: Adult Child
(only for RSVP with Payment)
 
 
Comment:
 

Contact Info.

Title:

First Name*:

Last Name*:

Address* (Billing):

City*:

State*:

Zip Code*:

Country*:

Phone*:


Credit Card Detail

Card Type*:

Card Number*:

Expiration Date*:

Month

Year

CVV Sec. Code*:


 


Acknowledgment
Email Address*
Reconfirm Email Address*
You may acknowledge my gift to my email address
Please acknowledge my gift by mail.
Please contact me to discuss additional giving opportunities.

Chai Club - Monthly Recurring Donation:
Yes! I would like to enroll into the Chai Club Circle of Giving! Please charge the above amount to my credit card each month for the next twelve months.

To learn more about the Chai Club, click here .

 

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