Payment Information
Yes! I would like to support the activies of Chabad
Amount
$5,400 - Founder
$3,600 - Builder
$1,800 - Leader
$1,000 - Patron
$540 - Sponsor
$360 - Supporter
$180 - Chai
$18 - Donor
Other
*
Please charge this card monthly (This can be cancelled anytime by emailing our office).
Purpose
Purpose
Young Professionals
Chabad of South Scottsdale
Cteen
Contact Information
Title
Title
Mr.
Mrs.
Ms.
Dr.
Mr. & Mrs.
Dr. & Mrs.
Rabbi
Rabbi & Mrs.
First
*
Last
*
Address
*
City
*
State
*
Zip
*
Phone
*
Email
*
Credit Card Information
Type
Card Type
Visa
MC
Amex
Discover
*
Number
*
Expiration
Month
1 - January
2 - February
3 - March
4 - April
5 - May
6 - June
7 - July
8 - August
9 - September
10 - October
11 - November
12 - December
*
Year
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
*
Code
*
Use contact info above.
Name
*
Address
*
Zip
*
Other Information
Please contact me to discuss other giving opportunities.
Comments
Honor
Memory
Submit