Payment Information
Yes! I would like to support Village Chabad!
Select Amount
$5,000
$3,600
$1,000
$500
$360
$180
$100
Other
*
Purpose
Purpose
General
Building Fund
Social Services (Maot Chitim)
Please charge my card on a monthly basis
Contact Information
Title
Title
Mr.
Mrs.
Dr.
Ms.
Rabbi
Rabbi & Mrs.
Dr. & Mrs.
First
*
Last
*
Address
*
City
*
State
*
Zip
*
Phone
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Email
Other Information
Honor
Memory
Please contact me to discuss additional giving opportunities
Comments
Credit Card Information
Type
Card Type
Visa
MC
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Number
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Expires
Expiration Date
1 - January
2 - February
3 - March
4 - April
5 - May
6 - June
7 - July
8 - August
9 - September
10 - October
11 - November
12 - December
*
Expire Year
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
*
Code
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Use contact info above
Name
*
Address
*
Zip
*
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