Thank you for donating to Chabad of Laos Full Name* First Name Last Name E-mail* Phone Number Area Code Phone Number Amount* $54$100$180$360$720$1800 (Please mark 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 Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 Expiration Year Paypal 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# 03-0498942 Checks can be sent to American Friends of Chabad of Thailand 80 Shore Road Port Washington, NY 11050 To receive a tax receipt from Israel, please process your donation via our Hebrew website, https://chabadthailand.co.il/donations If 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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