Donation Form
I want to donate the following amount: $1,000.00 $500.00 $360.00 $180.00 $100.00 Other
Please make my donation in honour of memory of
Name:
Address: City: Province: Postal Code:
Phone: E-mail:
Credit Card Type: Visa Master Card Amex Credit Card Number: Exp.(mm/yyyy) 01 02 03 04 05 06 07 08 09 10 11 12 / 2010 2011 2012 2013 2014 2015 2016
My cheque payable to Chabad of Midtown is in the mail.
Please mail your donation cheques to Chabad of Midtown 1344 Bathurst St. Toronto, ON M5R 3H7
Thank you so much!...
For any questions, please contact us: donations@chabadmt.com