Give Chai Get Chai! *Pick a dollar amount in multiples of CHAI – LIFE = $18 ($36, $72, $150, $180, $1,800, etc.) and we will set you up on an automatic monthly charge. You can always increase it or decrease it. Chai Club Form I want to make a monthly contribution of $36 $54 $108 $180 $360 $720 $1,800 $3,600 other $ Recurring donation Your recurring gift will create an ongoing relationship between you and the The Chabad House community you are supporting and will join you with the"Chai Club." Please charge the above amount to my credit card on the18th day of each month, starting this month. 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 who has inspired you. * Denotes required field Title* Chaplain Dr. Dr. & Mrs. Drs. Mr. Mrs. Ms. Mr. & Mrs. Rabbi Rabbi & Mrs. The Honorable First Name* Last Name* Address Line 1* Address Line 2 City* State Zip* Country Phone This is my home business address. Total Amount to be charged monthly $ Card Type Credit Card Type Please Select Visa MasterCard Amex Card Number Expiration Date Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2021 2022 2023 2024 2025 2026 CVV 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. Please click submit only once. Please wait a few seconds for acknowledgement online that your information was received. We will send you a receipt once your donation has been processed. If you have problems with this form please notify us by calling Chabad at 561-333-4663. Call Send SMS Add to Skype You'll need Skype CreditFree via Skype This page uses 128 bit SSL encryption to keep your data secure.