Chai Lifeline

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About Chai Lifeline

Use the form below to donate to Chai Lifeline. You can also donate by calling (877) CHAI LIFE or mailing a check to: 151 West 30th Street New York, NY 10001

Click here for a list of dedication and sponsorship opportunities, or call our office at (877) CHAI LIFE for more information.

Enter A Donation Amount : $
To pay over multiple months, click here

1. Billing Information
First Name	Last Name

Company Name (optional)

Address

City	State/Prov	Zip Code

	Country

Phone Number	Email Address


2. Payment Information

Card Type	Card Number

Expiration Month	Expiration Year	Verification Code

Verification Code is the 3 or 4 digit number printed on the back signature panel. It is on the front of the card for American Express.

3. Additional Information (optional)

Credit this donation to:			How Did You Hear About Us?


Donation Type			Additional Comments:
General Donation
In Memory Of
In Honor Of
For The Recovery Of
Please send them an acknowledgement of this donation: To the following email address: Via mail to the following address: Message to be sent:

Please mail a receipt to the address above (in addition to the receipt I will receive via email).

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Chai Lifeline is a non-profit 501c3 organization. Tax ID # 11-2940331