Chai Card

Internal Card

Yes

Contribute in memory of in honor of a special person or occasion.

CBST will send notification of your gift, without mentioning the amount.

Amount

In memory of...

In honor of...

Tribute name (who the gift is in memory or honor of):

Chai Card recipient first name (who should be notified):

Chai Card recipient last name (who should be notified):

Chai Card recipient email (where the chai card should be sent):

Please look up the recipient's email for me.

I would like my email address to be shared with my message.

Chai Card message:

Please Note: Your message will be sent to the recipient exactly as entered above.

Contributions Subtotal

CBST is a 501c3 Religious Organization. Consider a gift via Stock Transfer, Foundation/Trust, Employer Match, Required Minimum Distribution, etc.

Questions? Contact Ruth at rkleinman@cbst.org or 212-929-9498 x 815.

Payment Information

Total Amount

I would like to pay by:

ACH/E-check (selecting this option saves CBST money; thank you!)Credit Card

Add an opportunity

Select an account for this opportunity:

Account ID

Donor Information

Donor First Name

Donor Last Name

My Contact Information

First Name

Last Name

Cell Phone

format: xxx-xxx-xxxx

Billing Address Incl. Apt

Country

City

State

State/Province

Zip

Enter a different mailing address

Mailing Address incl. Apt.

Mailing City

Mailing State/Province

Mailing Zip Code

Mailing Country

Credit Card Payment Information

First Name on Card

Last Name on Card

Credit Card Type

Credit Card Number

Expiration Month

Expiration Year

YYYY

CSV

3 or 4 digit security code found on the back of your card

ACH/eCheck Information

Account Holder Name

Bank Name

Bank Routing Number

Bank Account Number

Bank Account Type

Additional Notes

CBST is a 501c3 Religious Organization. Consider a gift via stock transfer, foundation/trust, employer match, etc. Questions? Contact Ruth at rkleinman@cbst.org or 212-929-9498 x 815. Your contribution will not be processed until after you review your selections on the next page.

Authnet_Hidden_Fields

Congregation Beit Simchat Torah | 130 West 30th St, New York, NY 10001-0154| cbst.org | TEL: 212-929-9498 | FAX: 212-620-3154