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Chai Club Form

Chai Club
To help support the activities of Chabad, we have created the Chai Club and are inviting you to become our partner. By becoming our partner through the Chai Club, you are committing to a monthly donation in a multiple of 18, or Chai which means life in Hebrew.

The Torah teaches that each individual is a world. With your support of our activities, you can help move many a universe. As a member of the Chai Club, your donation, combined with everyone else's in this special club, will allow us to continue our important work towards a stronger Jewish tomorrow and beyond.
Full Name*

First Name Last Name
E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*

- Area Code Phone Number
Monthly Contribution*

$18 $36 $54 $72 $108 $126 $144 $180 $270 $360 $540
Please charge the above amount to my credit card on the:
Please note: your card will be charged the first month with the submission of this form.
In Honor/memory of

0/100

Payment*

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Credit Card

Credit Card Type
- Credit Card Number	Security Code
Name on Card

/ Expiration Month Expiration Year

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