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Chai Club

Chai Club

CHAI CLUB



I want to make a monthly contribution of:    US 
 
Optional
 In Memory of 
Make a donation in memory of a deceased family member or friend. 
 
 In Honor of 
Make a donation in honor of someone or to celebrate a joyous occasion. 

Details: 

 

* Denotes required field

Title*
First Name*
Last Name*
Address Line 1*
Address Line 2
City*
State
Post Code*
Country*
Phone
This is my  home  business address.

 

Card Type*
Card Number*
Expiration Date*  
CVV Security Code 

 

Acknowledgement
Email Address*
Reconfirm Email Address*
 You may acknowledge my gift to my email address
 Please acknowledge my gift by mail to the above street address. 
 
 Please contact me to discuss additional giving opportunities.
 Recurring donation: 
 Please charge the above amount to my credit card each month for the next twelve months.

 

Please click submit only once. 
Please wait a few seconds for acknowledgement online that your information was received.

 

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