Sponsor

You are sponsoring David Chiger

Sponsor Amount $

Personal Information

First Name: *

Last Name: *

add company name please display my name differently on the scroll.

Address: *

City: *

State: *

Zip / Postal: *

Country: *

Phone Number: *

Cell Phone:

Email Address: *

Payment Details

100% of your donation is processed directly through the organization's banking.

Rayze.it is a commission-free platform.

Organization Legal Name
Chai Lifeline

Chai Lifeline is a non-profit 501c3 organization.

Your card will be charged $

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).

Personalize your message (optional)

Please add the following comment to the ticker scroll on David Chiger's personal page.

Only enter this field if you were told to do so by a staff member.

Chai Lifeline is a non-profit 501c3 organization.