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Donation and Payment form

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Please complete this form to make a payment or donation to Chabad. Please indicate the purpose of your donation or payment.

Please do not use this form for any High Holidays payments or seat reservations:
Click here for our High Holiday seat reservations and payment form .
Click here for Yizkor Book dedication and payment form .
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Name
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Street Address
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City, State, Zip
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Daytime Phone Number
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Email Address
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Purpose of Donation or Payment
Amount*
$

Payment Method

Credit Card Paypal Card on File

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