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              To help support the activities of Chabad, we have created the Chai Club and are inviting you to become our partner. By becoming our partner through the Chai Club, you are committing to a monthly donation in a multiple of 18, or "Chai", which means life in Hebrew.
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              The Torah teaches that each individual is a world. With your support of our activities, you can help move many a universe. As a member of the Chai Club, your donation, combined with everyone else's in this special club, will allow us to continue our important work towards a stronger Jewish tomorrow and beyond.
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                    <option value="Saint Barthelemy"> Saint Barthelemy </option>
                    <option value="Saint Helena"> Saint Helena </option>
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                    <option value="Saint Lucia"> Saint Lucia </option>
                    <option value="Saint Martin"> Saint Martin </option>
                    <option value="Saint Pierre and Miquelon"> Saint Pierre and Miquelon </option>
                    <option value="Saint Vincent and the Grenadines"> Saint Vincent and the Grenadines </option>
                    <option value="Samoa"> Samoa </option>
                    <option value="San Marino"> San Marino </option>
                    <option value="Sao Tome and Principe"> Sao Tome and Principe </option>
                    <option value="Saudi Arabia"> Saudi Arabia </option>
                    <option value="Senegal"> Senegal </option>
                    <option value="Serbia"> Serbia </option>
                    <option value="Seychelles"> Seychelles </option>
                    <option value="Sierra Leone"> Sierra Leone </option>
                    <option value="Singapore"> Singapore </option>
                    <option value="Slovakia"> Slovakia </option>
                    <option value="Slovenia"> Slovenia </option>
                    <option value="Solomon Islands"> Solomon Islands </option>
                    <option value="Somalia"> Somalia </option>
                    <option value="Somaliland"> Somaliland </option>
                    <option value="South Africa"> South Africa </option>
                    <option value="South Ossetia"> South Ossetia </option>
                    <option value="Spain"> Spain </option>
                    <option value="Sri Lanka"> Sri Lanka </option>
                    <option value="Sudan"> Sudan </option>
                    <option value="Suriname"> Suriname </option>
                    <option value="Svalbard"> Svalbard </option>
                    <option value="Sweden"> Sweden </option>
                    <option value="Switzerland"> Switzerland </option>
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                    <option value="Taiwan"> Taiwan </option>
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                    <option value="Tanzania"> Tanzania </option>
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                    <option value="Timor-Leste"> Timor-Leste </option>
                    <option value="Togo"> Togo </option>
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                    <option value="Tristan da Cunha"> Tristan da Cunha </option>
                    <option value="Tunisia"> Tunisia </option>
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                    <option value="Turks and Caicos Islands"> Turks and Caicos Islands </option>
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                    <option value="Uganda"> Uganda </option>
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                    <option value="United Arab Emirates"> United Arab Emirates </option>
                    <option value="United Kingdom"> United Kingdom </option>
                    <option value="Uruguay"> Uruguay </option>
                    <option value="Uzbekistan"> Uzbekistan </option>
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                    <option value="Vatican City"> Vatican City </option>
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                    <option value="Vietnam"> Vietnam </option>
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                    <option value="other"> Other </option>
                  </select>
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              </td>
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          </tbody></table>
        </div>
      </li>
      <li class="form-line" id="id_6">
        <div class="form-label-left" id="label_6">
          <label for="input_6">
            Phone Number<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_6">  </label>
        </div>
        <div id="cid_6" class="form-input">
          <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q6_phoneNumber6[area]" id="input_6_area" autocomplete="tel-area-code" size="3" />
              <label class="form-sub-label" for="input_6_area" id="sublabel_area"> Area Code </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q6_phoneNumber6[phone]" id="input_6_phone" autocomplete="tel-local" size="8" />
              <label class="form-sub-label" for="input_6_phone" id="sublabel_phone"> Phone Number </label></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_8">
        <div class="form-label-left" id="label_8">
          <label for="input_8">
            Monthly Contribution<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_8">  </label>
        </div>
        <div id="cid_8" class="form-input">
          <div class="form-multiple-column" data-columns="2"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_8_0" name="q8_monthlyContribution" value="18" />
              <label for="input_8_0"><span>$18</span>
              </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_8_1" name="q8_monthlyContribution" value="36" />
              <label for="input_8_1"><span>$36</span>
              </label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_8_2" name="q8_monthlyContribution" value="54" />
              <label for="input_8_2"><span>$54</span>
              </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_8_3" name="q8_monthlyContribution" value="72" />
              <label for="input_8_3"><span>$72</span>
              </label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_8_4" name="q8_monthlyContribution" value="108" />
              <label for="input_8_4"><span>$108</span>
              </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_8_5" name="q8_monthlyContribution" value="126" />
              <label for="input_8_5"><span>$126</span>
              </label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_8_6" name="q8_monthlyContribution" value="144" />
              <label for="input_8_6"><span>$144</span>
              </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_8_7" name="q8_monthlyContribution" value="180" />
              <label for="input_8_7"><span>$180</span>
              </label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_8_8" name="q8_monthlyContribution" value="270" />
              <label for="input_8_8"><span>$270</span>
              </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_8_9" name="q8_monthlyContribution" value="540" />
              <label for="input_8_9"><span>$540</span>
              </label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio-other form-radio validate[required]" name="q8_monthlyContribution" id="other_8" value="" /><span><input type="number" min="1" class="form-radio-other-input form-textbox" onkeypress="validateNumber(event)" name="q8_monthlyContribution[other]" data-otherhint="Other" size="15" id="input_8" disabled="disabled" /></span>
              <br /></span>
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            <label id="label_18" for="input_18"> Yes, I'd like to make this a monthly recurring payment. </label>
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          <label for="input_13"> In Honor/memory of </label>
          <label class="label-message" for="input_13">  </label>
        </div>
        <div id="cid_13" class="form-input">
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              <div class="form-textarea-limit-indicator"><span type="Letters" limit="100" id="input_13-limit">0/100</span>
              </div></span>
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        <div class="form-label-left" id="label_7">
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          <label class="label-message" for="input_7">  </label>
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            <tbody><tr>
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              </td>
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            <tr class="credit_card ">
              <th colspan="2">
                Credit Card
              </th>
            </tr>
            <tr class="credit_card ">
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                <table cellpadding="0" cellspacing="0">
                  <tbody><tr>
                    <td colspan="2"><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q7_payment7[cc_type]" id="input_7_cc_type" autocomplete="cc-type">
                          <option value="Visa"> Visa </option>
                          <option value="Mastercard"> MasterCard </option>
                          <option value="Amex"> American Express </option>
                          <option value="Discover"> Discover </option>
                        </select>
                        <label class="form-sub-label" for="input_7_cc_type" id="sublabel_cc_type"> Credit Card Type </label></span>
                    </td>
                  </tr>
                  <tr>
                    <td><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[required, visible, creditcard]" type="text" name="q7_payment7[cc_number]" id="input_7_cc_number" autocomplete="cc-number" size="20" />
                        <label class="form-sub-label" for="input_7_cc_number" id="sublabel_cc_number"> Credit Card Number </label></span>
                    </td>
                    <td class="cc_ccv hide"><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q7_payment7[cc_ccv]" id="input_7_cc_ccv" autocomplete="cc-csc" size="6" />
                        <label class="form-sub-label" for="input_7_cc_ccv" id="sublabel_cc_ccv"> Security Code </label></span>
                    </td>
                  </tr>
                  <tr>
                    <td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q7_payment7[cc_nameOnCard]" id="input_7_cc_nameOnCard" autocomplete="cc-name" size="33" />
                        <label class="form-sub-label" for="input_7_cc_nameOnCard" id="sublabel_cc_nameOnCard"> Name on Card </label></span>
                    </td>
                  </tr>
                  <tr class="credit_card ">
                    <td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q7_payment7[cc_exp_month]" id="input_7_cc_exp_month" autocomplete="cc-exp-month">
                          <option>  </option>
                          <option value="1"> 1 - January </option>
                          <option value="2"> 2 - February </option>
                          <option value="3"> 3 - March </option>
                          <option value="4"> 4 - April </option>
                          <option value="5"> 5 - May </option>
                          <option value="6"> 6 - June </option>
                          <option value="7"> 7 - July </option>
                          <option value="8"> 8 - August </option>
                          <option value="9"> 9 - September </option>
                          <option value="10"> 10 - October </option>
                          <option value="11"> 11 - November </option>
                          <option value="12"> 12 - December </option>
                        </select>
                        <label class="form-sub-label" for="input_7_cc_exp_month" id="sublabel_cc_exp_month"> Expiration Month </label></span>
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                    <td><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q7_payment7[cc_exp_year]" id="input_7_cc_exp_year" autocomplete="cc-exp-year">
                          <option>  </option>
                          <option value="2022"> 2022 </option>
                          <option value="2023"> 2023 </option>
                          <option value="2024"> 2024 </option>
                          <option value="2025"> 2025 </option>
                          <option value="2026"> 2026 </option>
                          <option value="2027"> 2027 </option>
                          <option value="2028"> 2028 </option>
                          <option value="2029"> 2029 </option>
                          <option value="2030"> 2030 </option>
                          <option value="2031"> 2031 </option>
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                        <label class="form-sub-label" for="input_7_cc_exp_year" id="sublabel_cc_exp_year"> Expiration Year </label></span>
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