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Chai Society
Please verify reCaptcha before submitting the form.
Yes, I/we would like to join the Chai Society. Each month, I/we would like to contribute:
Yes, I/we would like to join the Chai Society. Each month, I/we would like to contribute:
$180 - Chai x 10
$90 - Chai x 5
$54 - Triple Chai
$36 - Double Chai
$18 - Chai
Name(s) as you would like to be listed:
Email Address
Please choose a method for the recurring payment either by credit card (with 3% service fee) or direct payment from your bank account, and provide the appropriate information required below.
Name as it appears on credit card
Credit Card Number
Expiration Date
Security Code
ACH - Name on account
Bank Account #
Routing #
Please check here in lieu of a signature
Please check here in lieu of a signature
Date of submission
If you have any questions, please call the office at 516-379-8650 or email execdirector@merrickjc.org
Thu, December 5 2024 4 Kislev 5785
