Tu B'Shevat Trays

v Printable Order Form v

Thank you for your interest in supporting Gan Yiladim Preschool! 

Please make out your check to Chabad House of Western Michigan and send it to:


Chabad House of Western Michigan
Tu B'Shevat Fruit Trays 
2615 Michigan St
Grand Rapids, MI 49506-1238

If you'd like to give us more specific information or would like to give us your credit card information by mail, please print and fill out the form below and send it to the same address.

Thank you very much!

Mrs. Sarah Weingarten

Payment Method:

   Enclosed is my check
   Please charge my credit or debit card account using the information provided below.

I'm happy to make a tax-deductible contribution to Chabad House of Western Michigan of:
 $20 Each   3 for $55     

       Total of   $__________      


 MasterCard    VISA  Discover  

Card Number:  ________-_________-_________-_________  

Exp. Date (mm/yy) ______/______ 
Card ID Number: ______                                   American Express Graphic


 
Your First & Last Name: ______________________________________
Address: ______________________________________
  ______________________________________
City, Province, Postal Code: ______________________________________
Country: ______________________________________
E-Mail address: ______________________________________
Daytime Phone: (____)______________________
Evening Phone: (____)______________________