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Chai Club Donation Form

Chai Club Donation Form

Donate monthly

Recurring Donation to Freinds of Chabad Japan

(USA 501c Tax deductible)

Note: This form is for setting up regularly recurring Chabad Japan donations only.
If you would like to make a one-time donation, please click here to use the appropriate form.

Recurring Donation Summary:

Initial Donation Amount: US$
Choose your schedule:
Number of Additional
(Recurring) Payments:
"*" means indefinite
My gift will be matched by my company or my spouse's company
(I will send Chabad Japan the matching gift form).
Please send me information about including Chabad Japan in my will or estate.
Please contact me about volunteer opportunities.
Programs/Services:

Contact Information:

Company Name (optional):
First Name:
Last Name:
Street Address:
Address Line 2:
City:
Country:
State:
Zip:
Phone Number:
Email Address:

Credit Card Information:

Name as on Card:
Card Billing Address:
Card Billing Zipcode:
Card Number:
Card Expiration Date: MMYY
Card ID (CVV2/CID) Number:
[What is the Card ID?]

Dedications (optional):

This Donation is:
In Memory of:
In Honor of:
Kindly Notify:
Name:
Street Address:
City:
State:
Zip:
Comments:

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In loving memory of Shlomo ben Sima Chashah OBM, Chana's Father