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<span class="style93" style="font-family: 'Trebuchet MS'; color: rgb(127,69,58); font-size: 18pt">BECOME A CHAI PARTNER!</span></strong></span><span class="style87" style="text-align: right; background-color: rgb(255,241,225); font-family: 'Trebuchet MS'; color: rgb(127,69,58); font-size: 10pt; font-weight: bold"><br>
<span style="line-height: 17px; text-transform: uppercase; font-family: calibri, sans-serif; font-size: 11pt">INVEST IN A JEWISH TOMORROW!</span></span></td>
</tr>
</tbody>
</table>
<br syle="height: .5em;">
<fieldset>
                <legend>
<span style="font-family: 'Trebuchet MS'; color: rgb(127,69,58); font-size: 14px">
<strong>Contribution Details</strong></span></legend>
<p align="left"> <strong style="font-family: 'Trebuchet MS'">I would like to make a contribution of:</strong></p>
<table dir="ltr" border="0" cellspacing="0" cellpadding="4" width="540" align="center" style="border-collapse: collapse">
<tbody>
<tr>
<td height="18" width="90">
<span style="font-size: 13px">
<label for="value3,600"><input id="value3,600" tabindex="1" type="radio" onclick="this.form.x_amount.value=this.value;" name="Amount" value="3,600"> <span style="font-family: 'Trebuchet MS'">$3,600</span></label></span></td>
<td height="18" width="90">
<span style="font-family: 'Trebuchet MS'; font-size: 13px">
<label for="value1,800"><input id="value1,800" tabindex="2" type="radio" onclick="this.form.x_amount.value=this.value;" name="Amount" value="1,800"> $1,800</label></span></td>
<td height="18" width="90">
<span style="font-family: 'Trebuchet MS'; font-size: 13px">
<label for="value1,000"><input id="value1,000" tabindex="3" type="radio" onclick="this.form.x_amount.value=this.value;" name="Amount" value="1,000"> $1,000</label></span></td>
<td height="18" width="90">
<span style="font-family: 'Trebuchet MS'; font-size: 13px">
<label for="value720"><input id="value720" tabindex="4" type="radio" onclick="this.form.x_amount.value=this.value;" name="Amount" value="720"> $720</label></span></td>
<td height="18" width="90">
<span style="font-family: 'Trebuchet MS'; font-size: 13px">
<label for="value500"><input id="value500" tabindex="5" type="radio" onclick="this.form.x_amount.value=this.value;" name="Amount" value="500"> $500</label></span></td>
<td height="18" width="90">
<span style="font-family: 'Trebuchet MS'; font-size: 13px">
<label for="value360"><input id="value360" tabindex="6" type="radio" onclick="this.form.x_amount.value=this.value;" name="Amount" value="360"> $360</label></span></td>
</tr>
<tr>
<td height="18" width="90">
<span style="font-family: 'Trebuchet MS'; font-size: 13px">
<label for="value180"><input id="value180" tabindex="7" type="radio" onclick="this.form.x_amount.value=this.value;" name="Amount" value="180"> $180</label></span></td>
<td height="18" width="90">
<span style="font-family: 'Trebuchet MS'; font-size: 13px">
<label for="value100"><input id="value100" tabindex="8" type="radio" onclick="this.form.x_amount.value=this.value;" name="Amount" value="100"> $100</label></span></td>
<td height="18" width="90">
<span style="font-family: 'Trebuchet MS'; font-size: 13px">
<label for="value72"><input id="value72" tabindex="9" type="radio" onclick="this.form.x_amount.value=this.value;" name="Amount" value="72"> $72</label></span></td>
<td height="18" width="90">
<span style="font-family: 'Trebuchet MS'; font-size: 13px">
<label for="value54"><input id="value54" tabindex="10" type="radio" onclick="this.form.x_amount.value=this.value;" name="Amount" value="54"> $54</label></span></td>
<td height="18" width="90">
<span style="font-family: 'Trebuchet MS'; font-size: 13px">
<label for="value36"><input id="value36" tabindex="11" type="radio" onclick="this.form.x_amount.value=this.value;" name="Amount" value="36"> $36</label></span></td>
<td height="18" width="90"> </td>
</tr>
<tr>
<td height="18" width="180" colspan="2" style="text-align: left"> </td>
<td height="18" width="180" colspan="2" cellpadding="4" style="text-align: center">
<span style="font-family:"><input id="valueOther" tabindex="13" checked type="radio" name="Amount" value="on"> <strong>
<span style="font-size: 14px">Total/Other <span id="OtherValue">$</span></span></strong></span><span id="OtherValue">
<input class="light" tabindex="14" size="6" required="true" name="x_amount" type="text"></span></td>
<td height="18" width="180" colspan="2" style="text-align: left"> </td>
</tr>
</tbody>
</table>
<br type="_moz">
<table dir="ltr" border="3" cellspacing="0" bordercolor="#80453A" cellpadding="5" width="500" bgcolor="#F08484" align="center" style="border-collapse: collapse">
<tbody>
<tr>
<td>
<p style="text-align: center">
<span style="font-size: 20px">
<strong>
<span style="font-family: 'Trebuchet MS'">Chai Club</span></strong></span></p>
<p style="text-align: justify">The Chai Club is a group of friends of The Chai Center who have committed to contributing at least $18 per month. This commitment enables us to focus on providing wonderful and enriching programs for every Jew in the Brookline area. Our continued growth is made possible by the support we receive from friends like you.</p>
<p style="text-align: justify">It's a great cause with great blessings in return! Plus, Chai Club Members receive discounts for some of our programs (please keep this in mind when donating).</p>
<p style="text-align: left">
<em>Thank you!</em><strong><br>
                        Rabbi Mayshe </strong></p>
<p><input tabindex="15" type="checkbox" name="Chai Club" value="on"> <strong style="line-height: 16px; font-family: 'Trebuchet MS'; font-size: 13px">Yes! I would like to become a member of the Chai Club! </strong><strong style="line-height: 16px; font-family: 'Trebuchet MS'; font-size: 13px">Please charge the above amount each month until <select tabindex="16" name="Recurring End Month">
<option value="No Month Selected" selected>Select</option>
<option value="January">January</option>
<option value="February">February</option>
<option value="March">March</option>
<option value="April">April</option>
<option value="May">May</option>
<option value="June">June</option>
<option value="July">July</option>
<option value="August">August</option>
<option value="September">September</option>
<option value="October">October</option>
<option value="November">November</option>
<option value="December">December</option>
</select> <select tabindex="17" name="Recurring End Year">
<option value="No End Date" selected>No End Date!</option>
<option value="2012">2012</option>
<option value="2013">2013</option>
<option value="2014">2014</option>
<option value="2015">2015</option>
<option value="2016">2016</option>
<option value="2017">2017</option>
<option value="2018">2018</option>
<option value="2019">2019</option>
<option value="2020">2020</option>
</select></strong></p>
</td>
</tr>
</tbody>
</table>
<p valign="middle" style="text-align: center"><span style="font-family: 'Trebuchet MS'; font-size: 13px"><br class="Apple-interchange-newline">
</span><span style="font-family: 'Trebuchet MS'; font-size: 13px">
<strong>Please direct my contribution towards:</strong></span><span style="font-family: 'Trebuchet MS'"> </span><select tabindex="18" name="Allocation of Funds">
<option value="None Selected" selected>Choose a Program</option>
<option value="Chai Center">Chai Center - General Donation</option>
<option value="Young Adults">Young Adults</option>
<option value="Hebrew School Tuition">Hebrew School Tuition</option>
<option value="HS Scholarship Fund">Hebrew School Scholarship Fund</option>
<option value="Chai Kidz">Chai Kidz</option>
<option value="Kiddush">Kiddush Sponsorship</option>
<option value="Tuesday Torah Cafe">Tuesday Torah Cafe</option>
<option value="Shabbat Dinners">Shabbat Dinners</option>
<option value="Friendship Circle">Friendship Circle</option>
<option value="Social Services">Social Services</option>
<option value="Security">Security</option>
</select><span style="font-family: 'Trebuchet MS'; font-size: 13px">
<font face="'Trebuchet MS'">
<b><br>
</b></font></span><font face="'Trebuchet MS'">
<span style="line-height: 15px">
<b>
<i><br>
</i></b></span></font>
                </p>
<p style="text-align: center"><input tabindex="19" type="radio" name="Dedication" value="In Memory"> In Memory <input tabindex="20" type="radio" name="Dedication" value="In Honor"> In Honor</p>
<p style="text-align: center">
<textarea tabindex="21" cols="1" required="false" style="margin: 2px; width: 500px; height: 32px" name="Details"></textarea></p>
<p style="text-align: center"><strong>
<em>
<span style="font-family: 'Trebuchet MS'">For information on other giving opportunities</span></em></strong><span> </span><em>
<span style="font-family: 'Trebuchet MS'">
<strong><a href="mailto:mayshe@getchai.com?subject=Donation%20Inquiry">email</a> </strong></span><strong>
<span style="font-family: 'Trebuchet MS'">or call (617) 278 -2424</span></strong></em> </p>
</fieldset>
<p>
<span style="font-family: Trebuchet MS"> </span></p>
<fieldset>
                <legend>
<span style="font-family: 'Trebuchet MS'; color: rgb(127,69,58); font-size: 14px">
<strong>Contact Details</strong></span></legend>                                                <br>
<table dir="ltr" border="0" cellspacing="0" cellpadding="5" width="400" align="left" style="width: 547px; border-collapse: collapse; height: 68px">
<tbody>
<tr>
<td height="15" width="50%" style="font-family: Arial; font-size: 10px">
<strong>
<span style="font-family: 'Trebuchet MS'; font-size: 13px">* First Name <br>
<input class="light" tabindex="22" size="30" required="true" name="x_first_name" type="text"></span></strong></td>
<td height="15" width="50%" style="font-family: Arial">
<strong>
<span style="font-family: 'Trebuchet MS'; font-size: 13px">* Last Name <br>
<input class="light" tabindex="23" size="30" required="true" name="x_last_name" type="text"></span></strong></td>
</tr>
<tr>
<td height="15" width="50%" style="font-family: Arial">
<strong>
<span style="font-family: 'Trebuchet MS'; font-size: 13px">Address <br>
<input class="light" tabindex="24" size="30" required="false" name="x_address" type="text"></span></strong></td>
<td height="15" width="50%" style="font-family: Arial">
<strong>
<span style="font-family: 'Trebuchet MS'; font-size: 13px">City <br>
<input class="light" tabindex="25" size="30" required="false" name="City" type="text"></span></strong></td>
</tr>
<tr>
<td height="15" width="50%" style="font-family: Arial">
<strong>
<span style="font-family: 'Trebuchet MS'; font-size: 13px">State <br>
<input class="light" tabindex="26" size="10" required="false" name="State" type="text"></span></strong></td>
<td height="15" width="50%" style="font-family: Arial">
<strong>
<span style="font-family: 'Trebuchet MS'; font-size: 13px">Zip Code <br>
<input class="light" tabindex="27" size="10" required="false" name="x_zip" type="text"></span></strong></td>
</tr>
<tr>
<td height="15" width="50%" style="font-family: Arial">
<strong>
<span style="font-family: 'Trebuchet MS'; font-size: 13px">Phone <br>
<input class="light" tabindex="28" size="30" required="false" name="Phone" type="text"></span></strong></td>
<td height="15" width="50%" style="font-family: Arial">
<strong>
<span style="font-family: 'Trebuchet MS'; font-size: 13px">* Email <br>
<input class="light" tabindex="29" size="30" required="true" name="x_email" type="text"></span></strong></td>
</tr>
</tbody>
</table>
<p align="left">
<strong>
<span style="font-family: 'Trebuchet MS'; font-size: 13px"> </span></strong></p>
<p align="left">
<strong>
<span style="font-family: 'Trebuchet MS'; font-size: 13px"> </span></strong></p>
<p align="left">
<strong>
<span style="font-family: 'Trebuchet MS'; font-size: 13px"> </span></strong></p>
<p align="left">
<strong>
<span style="font-family: 'Trebuchet MS'; font-size: 13px"> </span></strong></p>
<p align="left">
<strong>
<span style="font-family: 'Trebuchet MS'; font-size: 13px"> </span></strong></p>
<p align="left">
<strong>
<span style="font-family: 'Trebuchet MS'; font-size: 13px"> </span></strong></p>
<p align="left">
<strong>
<span style="font-family: 'Trebuchet MS'; font-size: 13px"> </span></strong></p>
<p align="left">
<font face="'Trebuchet MS'">
<b><input tabindex="30" type="radio" name="Receipt" value="Email"> You may acknowledge my gift to my email address <br>
</b></font>
                </p>
<p align="left"><input tabindex="31" type="radio" name="Receipt" value="Mail"> <span style="font-family: 'Trebuchet MS'">
<strong>Please acknowledge my gift by mail to the above street address</strong></span></p>
</fieldset>
<p>
<span style="font-family: Trebuchet MS"> </span></p>
<fieldset>
                <legend>
<span style="color: rgb(127,69,58); font-size: 14px">
<strong>Payment information</strong></span></legend><span style="font-family: Trebuchet MS">
<em>This form is secure and encrypted</em></span><span style="font-family: Trebuchet MS">
<em>
<img border="0" alt="" width="20" height="20" real_height="256" real_width="256" src="http://www.artistsvalley.com/images/icons/Professional%20Vista%20Software%20Icons%20Var/Secure/256x256/Secure.jpg"></em></span><br>
<span style="font-family: Trebuchet MS"><em>
<strong><br>
</strong></em><strong>Credit Card Type</strong><em>
<strong><br>
<br syle="height: .1em;">
</strong></em></span>
<table dir="ltr" border="0" cellspacing="0" cellpadding="5" width="100%" align="center" style="border-collapse: collapse">
<tbody>
<tr valign="middle">
<td width="25%">
<p style="text-align: center">
<label><img border="0" alt="Visa.gif" width="124" height="84" real_height="100" real_width="148" src="https://w2.chabad.org/media/images/648/yyfF6483778.gif"><br>
<input id="visa/" tabindex="32" type="radio" name="Credit Card Type" value="Visa"></label></p>
</td>
<td width="25%">
<p style="text-align: center">
<label><img border="0" alt="Mastercard.gif" width="124" height="84" real_height="100" real_width="148" src="https://w2.chabad.org/media/images/648/cbQD6483779.gif"><br>
<input tabindex="33" type="radio" name="Credit Card Type" value="Mastercard"></label></p>
</td>
<td width="25%">
<p style="text-align: center">
<label><img border="0" alt="Amex.gif" width="124" height="84" real_height="100" real_width="148" src="https://w2.chabad.org/media/images/648/uehQ6483780.gif"><br>
<input tabindex="34" type="radio" card="" name="Credit Card Type" value="AMEX"></label></p>
</td>
<td width="25%">
<p style="text-align: center">
<label><img border="0" alt="Discover.gif" width="124" height="84" real_height="100" real_width="148" src="https://w2.chabad.org/media/images/648/KmXE6483782.gif"><br>
<input tabindex="35" type="radio" name="Credit Card Type" value="Discover"></label></p>
</td>
</tr>
</tbody>
</table>
<span style="font-family: Trebuchet MS"><br>
</span><strong>
<span style="font-family: Trebuchet MS">Credit Card number:</span></strong>                                             <span style="font-family: Trebuchet MS">
<input tabindex="36" size="40" required="false" name="x_card_num" type="text"></span><span style="font-family: Trebuchet MS"><br>
<br>
<strong>Expiration date</strong><span style="font-size: 10px">
<em>(MM/YYYY)</em></span><strong>:</strong>                                                   <input tabindex="37" size="10" required="false" name="x_exp_date" type="text">  CVV Security Code: <input tabindex="38" size="4" required="false" name="cvv code" type="text"></span>                                          <a onclick_fckprotectedatt_fckprotectedatt_fckprotectedatt_fckprotectedatt_fckprotectedatt_fckprotectedatt_fckprotectedatt="%20onclick_fckprotectedatt_fckprotectedatt_fckprotectedatt_fckprotectedatt_fckprotectedatt_fckprotectedatt%3D%22%2520onclick_fckprotectedatt_fckprotectedatt_fckprotectedatt_fckprotectedatt_fckprotectedatt%253D%2522%252520onclick_fckprotectedatt_fckprotectedatt_fckprotectedatt_fckprotectedatt%25253D%252522%25252520onclick_fckprotectedatt_fckprotectedatt_fckprotectedatt%2525253D%25252522%2525252520onclick_fckprotectedatt_fckprotectedatt%252525253D%2525252522%252525252520onclick_fckprotectedatt%25252525253D%252525252522%25252525252520onclick%2525252525253D%25252525252522window.open('%2525252525252Ftools%2525252525252Fdonate%2525252525252FCVVInfo.htm'%2525252525252C'CVVInfo'%2525252525252C'width%2525252525253D440%2525252525252Cheight%2525252525253D480%2525252525252Cresizable%2525252525253Dno%2525252525252Cstatus%2525252525253Dno%2525252525252Cscrollbars%2525252525253Dyes')%2525252525253B%25252525252520return%25252525252520false%2525252525253B%25252525252522%252525252522%2525252522%25252522%252522%2522%22" href="https://getchaicom.clhosting.org/tools/donate/CVVInfo.htm">
<font face="'Trebuchet MS'">
<img border="0" alt="" width="16" height="18" real_height="114" real_width="100" src="http://www.ciwcertified.com/_images/icons/icon_question.jpg"></font><em style="text-align: left; line-height: 16px; background-color: rgb(255,241,225); font-family: Arial, Helvetica, sans-serif; font-size: 13px"><br class="Apple-interchange-newline">
</em></a>
<div>
<font face="Arial, Helvetica, sans-serif">
<i><br>
</i></font>
                </div>
<hr>
<p>
<strong><em>Or...</em> Pay with Paypal</strong></p>
<p>
<span style="font-family: Trebuchet MS"><input tabindex="39" type="radio" name="Credit Card Type" value="Paypal"> I would like to pay with Paypal <br>
</span></p>
<p><a target="_blank" href="https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&amp;hosted_button_id=KYTDUZ8LFYCX6">
<img border="0" alt="paypal-donate.jpg" height="50" src="https://w2.chabad.org/media/images/640/kBHR6405439.jpg"></a> </p>
<p>Clicking the Paypal button will direct you to Paypal's website to complete the transaction.</p>
<p>
<em><strong>Please note:</strong> After completing your payment with Paypal, please click submit on this page to complete your contribution!</em></p>
<hr style="text-align: left; line-height: 16px; background-color: rgb(255,241,225); font-family: Arial, Helvetica, sans-serif, 'MS sans serif'; font-size: 13px">
<p style="text-align: left; line-height: 16px; background-color: rgb(255,241,225); font-family: Arial, Helvetica, sans-serif; font-size: 13px">
<strong><em>Or...</em> Pay with a Check</strong></p>
<table dir="ltr" border="0" cellspacing="0" cellpadding="5" width="100%" align="left" style="border-collapse: collapse">
<tbody>
<tr valign="top">
<td>
<p> <span style="font-family: 'Trebuchet MS'"><input tabindex="40" type="radio" name="Credit Card Type" value="Check"> I would like to pay with a check   <br>
</span></p>
<p style="text-align: left; line-height: 16px; background-color: rgb(255,241,225); font-family: Arial, Helvetica, sans-serif; font-size: 13px"><img border="0" alt="paypal-donate.jpg" width="124" height="84" real_height="125" real_width="185" src="https://w2.chabad.org/media/images/648/dUIi6483790.gif"> </p>
</td>
<td>
<p style="text-align: left; line-height: 16px; background-color: rgb(255,241,225); font-family: Arial, Helvetica, sans-serif; font-size: 13px">
<span style="font-family: 'Trebuchet MS'">Please mail your check (or bring it in) to:</span></p>
<p style="text-align: left; line-height: 16px; background-color: rgb(255,241,225); font-family: Arial, Helvetica, sans-serif; font-size: 13px">
<span style="font-family: 'Trebuchet MS'">
<strong>The Chai Center</strong></span></p>
<p style="text-align: left; line-height: 16px; background-color: rgb(255,241,225); font-family: Arial, Helvetica, sans-serif; font-size: 13px">
<span style="font-family: 'Trebuchet MS'">105 ST Paul St.</span></p>
<p style="text-align: left; line-height: 16px; background-color: rgb(255,241,225); font-family: Arial, Helvetica, sans-serif; font-size: 13px">
<span style="font-family: 'Trebuchet MS'">Brookline, MA 02446 </span></p>
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</tbody>
</table>
<p style="background-color: rgb(255,241,225)">
<font face="'Lucida Grande'">
<span style="line-height: normal; font-size: 11px"><br>
</span></font>
                </p>
<p style="text-align: center; line-height: 16px; background-color: rgb(255,241,225); font-family: Arial, Helvetica, sans-serif; font-size: 13px">
<span style="font-family: 'Trebuchet MS'"> <em>When donating by check, please fill out the form and click submit to complete your pledge.</em></span></p>
<p style="text-align: center; line-height: 16px; background-color: rgb(255,241,225); font-family: Arial, Helvetica, sans-serif; font-size: 13px">
<span style="font-size: 18px">
<strong>
<span style="font-family: 'Trebuchet MS'"> <em>
<span style="font-size: 18px">
<strong style="text-align: left; line-height: 16px; background-color: rgb(255,241,225); font-family: Arial, Helvetica, sans-serif, 'MS sans serif'; color: rgb(127,69,58)">Thank You!</strong></span></em></span></strong></span></p>
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