Full Name*First NameLast NameE-mail*Yes! Count me in. I want to be a part of this!*Chabad Coastal Bend is a 501(c)3 registered non-profit. Donations are tax-deductible$36 USD$54 USD$72 USD$100 USD$180 USD$360 USD$540 USD$1000 USD$1800 USD$5400 USDSponsorship Opportunities: (after selection, gift amount will automatically generate - see total charge below)Select from drop-down list (optional)One-Month Facility Sponsor $2,500Rosh Hashana Friend $100Rosh Hashana Partner $500Rosh Hashana Underwriter $1,000Sukkot Co-Sponsor $100Simchat Torah Co-Sponsor $100Simchat Torah Sponsor $500Simchat Torah Underwriter $1,000Aliah To the Torah $54Kiddish Sponsor $250Kiddish Co-Sponsor $100Mikvah Builder $10,000jTeens Month Sponsor $1,000Donation Total: Amount to be charged$500.00 USDPayment*Credit Card Paypal eCheck Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2022202320242025202620272028202920302031Expiration YearPaypal has been selected. Payment will take place on the next page.Bank NameRouting NumberAccount NumberCheckingSavingsBusinessAccount TypePlease accept this giftIn Honor ofIn Memory ofYes, I'd like to make this a monthly recurring payment.SubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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