Donation Level

*# Installments
Please enter between 2 and 36 installments
*Day of Month
'Rosh Chodesh' option available for ILS donations only. For donations with USD receipt, contact
*Send me a tax receipt
For USD, you will be able select the tax receipt type: Israeli Seif 46 or USA 501c3.
*Amount Choices
*Amount Choices
Your Amount Choice

Personal Information

*First Name
*Last Name
Mobile Phone
How did you hear about us?

Mailing Address

If the address that appears on your credit card differs from your mailing address, then enter it below.
If not applicable, select the "non-USA/Canada" option.
Zip/Postal Code

Billing Address

Please be sure to use the address which appears on your credit card.
If not applicable, select the "non-USA/Canada" option.
Zip/Postal Code
*Address to use on Receipt

Dedicate Donation to A Loved One

*Dedication Type
*Dedicated To
Please enter the name only. You may enter any further notes in the greeting below.
Personalized Greeting
*Send an email to the following addresses
*Show amount in email?

Payment Information

*Tax Receipt
*Card Type
*Card Number
*Verification Code
*Expiration Date
*Cardholder's First Name
*Cardholder's Last Name

Donations to Lema'an Achai are tax deductible in the USA, UK and Israel.
For donations in Canada and the UK,
To make an offline donation,

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