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Annual Gala 2021
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Sponsor

Sponsor Amount   $
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Personal Information
First Name: *
Last Name: *
 

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Company Name:
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Payment Details
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Organization Tax Info

Organization Legal Name
Chai Lifeline

Chai Lifeline is a non-profit 501c3 organization.

After submitting your donation, you will be redirected to Cardcom to submit your credit card information.
Your card will be charged $
Card Type *
Card Number *
Exp. Month *
Exp. Year *
cvv *
Ad Text: For donations $500 or more *
Seating: *
Reservation Names: *
Ad from Last Year: *
 Please mail a receipt to the address above (in addition to the receipt I will receive via email).
Only enter this field if you were told to do so by a staff member.
Chai Lifeline is a non-profit 501c3 organization.
A Project of
Chai Lifeline
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