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Printable Mail Form

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Who We Serve
Chabad of Coconut Creek & W. Pompano Beach is dedicated to providing every Jew regardless of background, philosophy or level of commitment, an open door environment for strengthening and enhancing Jewish family life.  Chabad serves individuals and  families looking for an anchor and non-judgmental, accepting, personalized Jewish experience.

Chabad offers Judaism with a smile, and a home away from home for everyone who walks through its doors. 
More About Us... 



 

Chabad Lubavitch of Coconut Creek & W. Pompano Beach is a 501(c)3 charity and all contributions to it are tax deductible.   All online contributions will be acknowledged within 48 hours.

 

Printable Mail Form

Thank you for your interest in supporting Chabad of Coconut Creek & W. Pompano Beach! 
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 Coconut Creek & W. Pompano Beach
and send it to:

Chabad of Coconut Creek & W. Pompano Beach
7530 Lyons Rd
Coconut Creek, FL 33073

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 Gansburg
Director, Chabad of Coconut Creek & W. Pompano Beach

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 Coconut Creek & W. Pompano Beach of: 

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

                $150 Friend      $180 Sponsor         $360 Patron          $500 Benefactor 
    
                $1000 Partner    $1800 Chai Partner   $2500 Partner  Other ____________


  MasterCard    VISA     American Express 

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


 
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:

_____________________________________

To have notification card(s) sent, please complete the following.

I would like a notification card without the gift amount mailed to:

Name: ______________________________________
Address: ______________________________________
  ______________________________________
City, State, Zip: ______________________________________
Country (if outside U.S.A.): ______________________________________
From (Your name as you would like it to appear on the card): ______________________________________

I would like a second notification card without the gift amount mailed to:

Name: ______________________________________
Address: ______________________________________
  ______________________________________
City, State, Zip: ______________________________________
Country (if outside U.S.A.): ______________________________________
From (Your name as you would like it to appear on the card): ______________________________________
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