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Printable Donation Form

  • Thank you for your interest in supporting Chabad House on Wheels! Your contribution will help us provide vital information and services to people across the globe.
  • Please make out your check to Chabad House on Wheels and send it to:
  • Chabad House on Wheels P.O. Box 2591 Miami Beach, FL 33140
  • 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.
  • Rabbi Zev Katz Director, Chabad House on Wheels
  • 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 House on Wheels of: $__________ $500 $250 $100 $50 $25
  • American Express MasterCard VISA
  • Card Number: ________-_________-_________-_________ Exp. Date (mm/yy) ______/______
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  • If you would you like this gift to be a tribute, please answer the following:This gift is... In Memory of In Honor of To Mark a Special Occasion: Birthday Bar/Bat Mitzvah Anniversary Other _____________
  • Honoree's Name: _____________________________________
  • To have notification card(s) sent, please complete the following. I would like a notification card without the gift amount mailed to:
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  • --------------------------------------------------------------------------------------------- I would like a second notification card without the gift amount mailed to:
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