Printed from ChabadMonroe.org

Chai Member Form

Chai Member Form

Yes! Please sign me up as a
Chabad Chai Club member!

  Please charge my credit card $18.00 a month which is equal to 12 X Chai a year.

Please charge my credit card $36.00 a month which is equal to 24 X Chai a year.

  Please charge my credit card $180.00 a month which is equal to 120 X Chai a year.

Please charge my credit card $300.00 a month which is equal to 200 X Chai a year.

Please charge my credit card $ a month.

 

Name as it appears on your card:  

Full Billing Address of card:

City, State:  Zip 

Home Telephone :

Email Address:

Card Number

Expiration Date:

Electronic Signature:

You can also print, fill out and mail to Chabad Chai for Life 261 Gravel Hill Rd. Monroe Twp. NJ 08831 or fax to 732-656-7666.

It’s this easy! Your donation, combined with everybody else's in this special club, will allow us to reach out like never before. Remember, you are in control. If you ever want to stop this service or make changes for any ,just call our offices (732-656-1616) and it will be taken care of immediately. So sign up today!

The Chabad Chai Club  - simple, painless, easy giving. and tax deductible!

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