Full Name
Email
Phone
Address
City
State & Zip
Birthdays
Please consider a sponsorship of $18 or more for each birthday listed.
Years must be included for us to keep a record in our system. They will not be shared in the calendar.
If you would like to include more than 4 birthdays, please email the info or fill out another form.
Of course, if your birthdays were included in last years calendar you do not need to resubmit that info again. Simply complete the rest of the form and press submit.
Full Name Birthday 1
Date of Birth for Birthday 1
Full Name Birthday 2
Date of Birth for Birthday 2
Full Name Birthday 3
Date of Birth for Birthday 3
Full Name Birthday 4
Date of Birth for Birthday 4
Yartzeits
Please consider a sponsorship of $36 or more for each yartzeit listed.
English day, month and year must be included. Times can be approximate. They help us determine the Hebrew Date of Passing. Names can be in English or Hebrew or however you'd like it to be displayed.
If you would like to include more than four Yartzeits, kindly email names, dates and times of passing.
Of course, if your yartzeits were included in last years calendar you do not need to resubmit that info again. Simply complete the rest of the form and press submit.
Name for Yartzeit 1
Date and Time of Passing for Yartzeit 1
Before Sunset
After Sunset
Name for Yartzeit 2
Date and Time of Passing for Yartzeit 2
Before Sunset
After Sunset
Name for Yartzeit 3
Date and Time of Passing for Yartzeit 3
Before Sunset
After Sunset
Name for Yartzeit 4
Date and Time of Passing for Yartzeit 4
Before Sunset
After Sunset
Sponsorship Ads
The suggested amount for a sponsorship ad is $180. Kindly consider an optional donation in an amount you feel comfortable with. If you can make your gift in the amount of $1800 please do. If you can only do $100 of course that's fine too.
Include text in box below. For business size cards or bigger, if you have camera ready artwork or a business card (should be business card size 3.5″x 2″) please email a pdf or high resolution jpg to info@chabadot.org.
Choose an optional sponsorship amount here
Payment Options
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Credit Card Information
Type
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MC
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Number
Expiration
Code
Use contact info above
Name
Address
Zip
Name on Account
Routing Number:
Re-input Routing Number:
Account Number:
Re-input Account Number:
Ad Greeting Text (Maximum 40 words), Comments or Questions.
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