This transaction is a --- Donation Payment Other I want to make a contribution (or payment) of $1800.00 $1000.00 $500.00 $360.00 $180.00 $100.00 $50.00 Other $ US Chai Club - Monthly Donation Program Yes! I would like to enroll into the Chai Club Circle of Giving! Please charge the above amount to my credit card each month. (Credit card will be charged on the 15th of each month. Recurring donations can be cancelled, modified or upgraded at any time). To learn more about the Chai Club, click here. Dedication If you are donating in honor or memory of a family member or friend Please specify what this Payment or Donation is for or any additional notes. (For events, please indicate number of attendees) Please contact me to discuss additional giving opportunities. Billing Information First Name Last Name Address City State Zip Code Phone E-mail Please use the address associated with the credit card you will be using. Method Card Type Visa Master Card American Express Please bill me Other Credit Card Number Expiration Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 CVV Card Code For donations/payments via check please make payable to Chabad Lubavitch of Orange County and mail to 94 Gilbert Street, Monroe, NY 10950. For Zelle/Paypal: [email protected] This page uses 128 bit SSL encryption to keep your data secure.