Partner with Shabbat Chicago

I would like to contribute
$1000 $500 $360 $180 $100
$60 $50 $36 Other   ($10 minimum)

Your Information
Contact Details
Title
First Name
Last Name
Address
City
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Phone
Email
This is my home address
This is my business address
Credit Card Details
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Comments

Acknowledgement
Email Address
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You may acknowledge my gift to my email address
Please acknowledge my gift by mail to the above street address