Thank you for donating to Chabad of Phuket Full Name* First Name Last Name E-mail* Phone Number Area Code Phone Number Amount USD* $54$100$180$360$720$1800 (Please select the circle next to 'Other' to choose your own payment amount.) Yes, I'd like to make this a monthly recurring payment. Payment* Credit Card Paypal Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2024202520262027202820292030203120322033 Expiration YearPaypal has been selected. Payment will take place on the next page. Note or dedication! 0/100 Submit Please wait a few seconds for acknowledgement online that your information was received. We will send you a receipt once your donation has been processed. If you have problems with this form please notify us by clicking here.Donations via this page are tax deductible in the United States.U.S. EIN# 03-0498942Checks can be sent to American Friends of Chabad of Thailand80 Shore RoadPort Washington, NY 11050To receive a tax receipt from Israel, please process your donation via our Hebrew website, https://chabadthailand.co.il/donationsIf you need a tax receipt in Thailand, Australia or the UK, please contact us and do not donate via this form. We will send you donation information. Thank you! Should be Empty: This page uses TLS encryption to keep your data secure.
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