CREDIT/DEBIT CARD SECURE ONLINE PAYMENT FORM We accept Visa, Mastercard & American Express Partnership Opportunities In our effort to be inclusive for 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. Gold Partnership $450 Monthly $5400 Annually-Includes 4 standard Kiddushim Double Chai Partnership $300 Monthly $3600 Annually-Includes 3 standard Kiddushim Silver Partnership $254 Monthly $3048 Annually-Includes 2 standard washing Kiddush Chai Partnership $150 Monthly $1800 Annually-Includes 1 standard Kiddush Family Partnership $72 Monthly $864 Annually Associate Partnership $36 Monthly $432 Annually Partnership $18 Monthly $216 Annually Where would you like to see your Partnership? Shul Expenses Chabad Programming Payment Information Please charge my: Please Choose Visa Mastercard I wish to pay 12 Month Installments You will be charged at the beggining of each month. Begin payments on: Choose a Month January February March April May June July August September October November December Card Number: Name on card Exp. Date Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 CVC # Total Amount to be charged: Additional comments/information: This page uses 128 bit SSL encryption to keep your data secure.