Thank you for your interest in supporting Chabad House at U of M !
Your contribution will help us provide vital information and services to the Ann Arbor and University of Michigan Jewish Community.

Please make out your check to Chabad House at U of M and send it to:

Chabad House at the U of M
715 Hill Street
Ann Arbor, MI 48104

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!

The Chabad Staff
 

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 House at U of M:
$__________ $500 $250 $100 $50 $25

MasterCard VISA

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): __________________________________________________________________________________