Printable Mail Form
Thank you for your interest in supporting Chabad of the Five Towns - North Woodmere! Your support makes you an important partner in our vital task of strengthening Jewish identity, unity and commitment.
Please make out your check to Chabad of the Five Towns and send it to:
Chabad of the Five Towns
74 Maple. Ave.
Cedarhurst, NY 11516
If you'd like to give us more specific information or would like to give us your credit card information by mail, please print and fill out the form below and send it to the same address.
Thank you very much!
Rabbi Zalman Wolowik
Director, Chabad of the Five Towns
Payment Method:
I'm happy to make a tax-deductible contribution to Chabad of the Five Towns of:
Card Number: ________-_________-_________-_________ Exp. Date (mm/yy) ______/______
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Your First & Last Name: | ______________________________________ |
Address: | ______________________________________ |
______________________________________ | |
City, State, Zip: | ______________________________________ |
Country (if outside U.S.A.): |
______________________________________ |
E-Mail address: | ______________________________________ |
Daytime Phone: | (____)______________________ |
Evening Phone: | (____)______________________ |
If you would you like this gift to be a tribute, please answer the following:
SELECT ONE. |
This gift is... |
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To have notification card(s) sent, please complete the following.
I would like a notification card without the gift amount mailed to:
Name: | ______________________________________ |
Address: | ______________________________________ |
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City, State, Zip: | ______________________________________ |
Country (if outside U.S.A.): | ______________________________________ |
From (Your name as you would like it to appear on the card): | ______________________________________ |
I would like a second notification card without the gift amount mailed to:
Name: | ______________________________________ |
Address: | ______________________________________ |
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City, State, Zip: | ______________________________________ |
Country (if outside U.S.A.): | ______________________________________ |
From (Your name as you would like it to appear on the card): | ______________________________________ |