Payment Information
Yes! I would like to support the activies of Chabad
Select Amount
$5,400 - Platnium Circle Patron
$3,600 - Gold Circle Patron
$1,800 - Leader
$1,000 - Patron
$540 - Sponsor
$360 - Supporter
$180 - Chai
$108 - Donor
Other
*
Please charge this card monthly for 12 months.
Purpose
My gift should be used towards...
Where most needed
UM Student Activities
Shabbat Dinner
Camp Gan Israel
Yahrtzeit
Mikvah
Chai Club
Purim Tzedakah
Other
*
Contact Information
Title
Title
Mr.
Mrs.
Ms.
Dr.
Mr. & Mrs.
Dr. & Mrs.
Mr. & Dr.
Rabbi
Rabbi & Mrs.
*
First
*
Last
*
Address
*
City
*
State
*
Zip
*
Phone
*
Email
*
Credit Card Information
Type
Card Type
Visa
MC
Amex
Discover
Debit
*
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
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
*
Code
*
Use contact info above.
Name
*
Address
*
Zip
*
Other Information
Honor/Notes
Memory
Email receipt
Mail receipt via USPS
As an added gift, my credit card will be charged an additional 2.99% to help Chabad defray its on-line credit card processing fee. Alternatively, you can
Donate with Credit Card
or
Donate with PayPal
at no extra fee.
Total Amount
Submit