Full Name* First Name Last Name E-mail* Phone Number* Area Code Phone Number Payment Amount (Thai Baht) ฿ THB Would you like to add a donation to Chabad of Chiang Mai? Yes! I would like to support unity and togetherness in Chiang Mai! ฿360 THB฿720 THB฿1800 THB Payment* Credit Card Paypal Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - 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. Notes Submit Please wait a few seconds for acknowledgement online that your information was received. Should be Empty: This page uses TLS encryption to keep your data secure.
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