Printable Mail Form

Thank you for your interest in supporting Chabad of Marion County! 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  Marion County and send it to:

Chabad of Marion County
3509 SW 34th Ave. Circle 
Ocala, Fl 34474

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 Yossi Hecht

Director, Chabad Of Marion County

 

Payment Method:

   Enclosed is my check
   Please charge my credit or debit card account using the information provided below.

I'm happy to make a tax-deductible contribution to Chabad of Marion County and The Villages: 

            $18 Chai   $36 Double Chai     $54 Triple Chai    $72 Associate  

      $150 Friend      $180 Sponsor         $360 Patron         

 $500 Benefactor     $1000 Partner    $1800 Chai Partner   $2500  

 Other ____________


  MasterCard    VISA     American Express 

Card Number:  ________-_________-_________-_________   Exp. Date (mm/yy) ______/______

 Please contact me to set up a meeting

 



 


 
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...
   In Memory of
   In Honor of

To Mark a Special Occasion: 
   Birthday
   Bar/Bat Mitzvah
   Anniversary
   Other _____________


Honoree's Name:

_____________________________________