Partnership - jewishwestport.com

Address: *

Cell Phone Number*

Area Code Phone Number
E-mail*
Please select one:*

My above contact information has recently changedMy above contact information has NOT changed recentlyI am new to Chabad
PARTNERSHIP OPPORTUNITIES
In our effort to be inclusive for families of all income levels, Partnership Opportunities have been designed within a wide range. However, if you are capable, please consider participating at a higher level. This will allow us to cover our expenses and continue to expand our programs, services and long term goals. All Partnership gifts can be made in one installment or in 12 monthly installments. Please check the option of your choice. Nobody will be turned away due to lack of funds.
Please note, High Holiday Seats for you and your family are included with Partnership.
Select one:*

Founder $36,000Platinum Partnership $18,000Gold Partnership $10,000Silver Partnership $7,200Bronze Partnership $5,400Double Chai Partnership $3,600Basic Family Partnership $2,500Chai Partnership $1,800
PAYMENT INFORMATION
*

I wish to pay the full donationOther: I wish to pay 12 Month Installments. You will be charged at the beginning of each month. OR Check/Stock
Partnership Total amount

$0.00

Payment*

Credit Card Other: By monthly installment or Check/Stock.

Postal / Zip Code

Country

Comments:
IF YOU SELECTED MONTHLY INSTALLMENT COMPLETE THE FORM BELOW
YOUR CREDIT CARD INFO (FOR 12 MONTH INSTALLMENTS ONLY)
Name on Card
Card Type
Card Number
EXP date
CVV
Amount to be charged Monthly
All donations are tax deductible and can be paid throughout the year.
100% of the proceeds of this donation or payment benefit Chabad Lubavitch of Westport.
EIN# 22-3484390.
Should be Empty:

IF YOU SELECTED MONTHLY INSTALLMENT COMPLETE THE FORM BELOW