I would like to make a contribution of $

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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.


CHAI CLUB

$36

$60

$72

$100

Other

Recurring donation:
Please charge the above amount to my credit card each month for the next twelve months.


Details:


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Title*  
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I would like to remain anonymous
This is my home business address.

 

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Acknowledgment
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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.