Page 15 - CVC 2019 Brochure

donate by check

USA ISRAEL
In His Image Chaim V’Chessed
303 Merrick Road, Suite 506 POB 57034

Lynbrook, NY 11563 Jerusalem 91410

For a U.S. tax deductible, make check out to In His Image and notate that the donation is for Chaim V’Chessed.
For an Israeli tax deductible, make check out to Chaim V’Chessed Resources.

SPECIAL NEEDS
donate by credit card

NAME:

CITIZENSHIP
ADDRESS:
GOVERMENT OFFICES

PHONE:

EMAIL:

CREDIT CARD NUMBER:

 PARTNER.............................$1000

 SUPPORTER...........................$500 BUREAUCRACY
 FRIEND................................$180
TAXES TO MAkE A DONATION BY CREDIT CARD, FILL OUT THIS FORM, AND MAIL IT TO:
 OTHER.........................$_________

ExP:
CCV:

USA - In His Image 303 Merrick Road, Suite 506, Lynbrook, NY 11563
ISRAEL - Chaim V’Chessed, POB 57034, Jerusalem 91410

FAx FORM TO 02-623-6726 OR DONATE ONLINE AT: wordpress-1295297-4729863.cloudwaysapps.com/donate