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	Make a Donation - Mazel Day School - Independent Jewish Preschool and K-9 School
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			<h1 class="article-header__title js-article-title js-page-title">Make a Donation</h1>
		
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      <p> </p>
<p class="SCHP_Title" align="left">
<img height="551" width="500" border="0" src="https://w2.chabad.org/media/images/1037/FTpK10377430.jpg" alt="3November.jpg" align="baseline" style="text-align: -webkit-center;" real_width="800" real_height="881"></p>
<div class="style6">I want to make a contribution of:</div>
<table width="100%" class="formlabels" border="0" cellspacing="0" cellpadding="4">
<tbody>
<tr>
<td>
<label for="value3600"><input value="3600.00" type="radio" name="Donation" onclick="this.form.x_amount.value=this.value;" id="value3600">$3600.00</label></td>
<td>
<label for="value1800"><input value="1800.00" type="radio" name="Donation" onclick="this.form.x_amount.value=this.value;" id="value1800" checked>$1800.00</label></td>
<td>
<label for="value1000"><input value="1000.00" type="radio" name="Donation" onclick="this.form.x_amount.value=this.value;" id="value1000">$1000.00</label></td>
<td>
<label for="value500"><input value="500.00" type="radio" name="Donation" onclick="this.form.x_amount.value=this.value;" id="value500">$500.00</label></td>
</tr>
<tr>
<td>
<label for="value180"><input value="180.00" type="radio" name="Donation" onclick="this.form.x_amount.value=this.value;" id="value180">$180.00</label></td>
<td>
<label for="value100"><input value="100.00" type="radio" name="Donation" onclick="this.form.x_amount.value=this.value;" id="value100">$100.00</label></td>
<!--
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            <td colspan="2"><label for="valueOther"><input value="other" type="radio" name="Donation" id="valueOther">Other</label>                                   <span id="OtherValue">$ <input style="text-align: right; font-weight: bold;" type="text" size="4" class="forminput" name="Donation" required="false">  US<img height="5" width="1" src="https://www.mychabad.org/images/global/spacer.gif" alt=""></span></td>
</tr>
</tbody>
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<div class="style6">Recurring Donation Options:</div>
<div style="padding-bottom: 6px; padding-left: 6px;" class="formtext">I would like to participate in the <strong>Mazel Chai Club</strong> by donating</div>
<div style="padding-bottom: 6px; padding-left: 6px;" class="formtext">
<table width="100%" class="formlabels" border="0" cellspacing="0" cellpadding="4">
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<label for="value3600"><input value="18" type="radio" name="Rec_Donation" onclick_fckprotectedatt="%20onclick%3D%22this.form.x_amount.value%3Dthis.value%3B%22" id="value3600">$18.00/Month</label></td>
<td>
<label for="value1800"><input value="36" type="radio" name="Rec_Donation" onclick_fckprotectedatt="%20onclick%3D%22this.form.x_amount.value%3Dthis.value%3B%22" id="value1800">$25.00/Month</label></td>
<td>
<label for="value1000"><input value="50" type="radio" name="Rec_Donation" onclick_fckprotectedatt="%20onclick%3D%22this.form.x_amount.value%3Dthis.value%3B%22" id="value1000">$50.00/Month</label></td>
<td>
<label for="value500"><input value="100" type="radio" name="Rec_Donation" onclick_fckprotectedatt="%20onclick%3D%22this.form.x_amount.value%3Dthis.value%3B%22" id="value500">$100.00/Month</label></td>
</tr>
<tr>
<td>
<label for="value180"><input value="180" type="radio" name="Rec_Donation" onclick_fckprotectedatt="%20onclick%3D%22this.form.x_amount.value%3Dthis.value%3B%22" id="value180">$180.00/Month</label></td>
<td>
<label for="value100"><input value="360" type="radio" name="Rec_Donation" onclick_fckprotectedatt="%20onclick%3D%22this.form.x_amount.value%3Dthis.value%3B%22" id="value100">$360.00/Month</label></td>
<!--
            <td><LABEL for="value50"><INPUT type="radio" value="50.00" name="radAmount" id="value50" onclick="this.form.x_amount.value=this.value;">$50.00</LABEL></td>
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            <td colspan="2"><label for="valueOther"><input value="other" type="radio" name="Rec_Donation" id="valueOther">Other</label>                                               <span id="OtherValue">$ <input style="text-align: right; font-weight: bold;" type="text" size="4" class="forminput" name="Rec_Donation" required="false">  US<img height="5" width="1" src="https://www.mychabad.org/images/global/spacer.gif" alt=""></span></td>
</tr>
</tbody>
</table>
</div>
<div style="padding-bottom: 6px; padding-left: 6px;" class="formtext">on the following recurring schedule:</div>
<table width="100%" style="padding-: 30px;" class="formtext" cellspacing="0" cellpadding="2">
<tbody>
<tr>
<td valign="top">
<input value="Y" type="checkbox" name="Recurring" onclick="document.getElementById('Recurring2').checked=false;" id="Recurring"></td>
<td>
<label for="Recurring">On the 1st of each month.</label></td>
</tr>
<tr>
<td width="10" valign="top">
<input value="C" type="checkbox" name="Recurring2" onclick="document.getElementById('Recurring').checked=false;document.getElementById('customRecurring').style.display=(this.checked?'':'none');document.getElementById('expand').style.display=(this.checked?'none':'');" id="Recurring2"></td>
<td>
<label for="recurring2">On the 15th of each month.</label></td>
</tr>
</tbody>
</table>
<p class="Remove"><strong>
<u>SPECIAL DONATIONS:</u></strong>              <br>
Make a donation to a specific campaign or fund - Select one:</p>
<p class="Remove"><input value="on" type="checkbox" name="Annual Campaign" tabindex="1">Security Campaign       <input value="on" type="checkbox" name="Ohel Dovid Scholarship Fund" tabindex="1">Ohel Dovid Scholarship Fund         <input value="on" type="checkbox" name="Hurricane Sandy Restoration" tabindex="1">THE BLAVATNIK CHALLENGE <input value="on" type="checkbox" name="Annual Campaign" tabindex="1">The C-Kids Club</p>
<table width="100%" class="covertype" border="0" cellspacing="0" cellpadding="5" bgcolor="#ebf2fe">
<tbody>
<tr>
<td>
<table width="100%" class="covertype" border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td>
<div align="center">
<em>Optional</em></div>
</td>
</tr>
</tbody>
</table>
<input value="In memory of" type="radio" name="Memory" onclick="document.getElementById('honoreee').style.display='';"><strong>In Memory of</strong>                                      <br>
            Make a donation in memory of a deceased family member or friend. <br>
<img height="6" width="1" src="https://www.mychabad.org/images/global/spacer.gif" alt=""><br>
<input value="In honor of" type="radio" name="Memory" onclick="document.getElementById('honoreee').style.display='';"><strong>In Honor of</strong>                                        <br>
            Make a donation in honor of someone who has inspired you or in honor of a birthday. <br>
<img height="6" width="1" src="https://www.mychabad.org/images/global/spacer.gif" alt=""></td>
</tr>
<tr style="display: none;" id="honoreee">
<td><strong>        Name:</strong>                                  <input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" type="text" size="30" class="forminput" name="Dedication Name"></td>
</tr>
</tbody>
</table>
<p><br>
<span style="float: right;" class="formtext"><font color="#ff0000">
<strong>*</strong></font> Denotes required field</span></p>
<div class="style6">Your Information:</div>
<table class="formlabels" border="0" cellspacing="0" cellpadding="6">
<tbody>
<tr>
<td height="13" valign="top">Title<font color="#ff0000">*</font>
            </td>
<td height="13" width="290" valign="top">
<select class="forminput" name="title">
<option value="0" selected></option>
<option>Chaplain</option>
<option>Dr.</option>
<option>Dr. &amp; Mrs.</option>
<option>Drs.</option>
<option>Mr.</option>
<option>Mrs.</option>
<option>Ms.</option>
<option>Mr. &amp; Mrs.</option>
<option>Mr. &amp; Dr.</option>
<option>Rabbi</option>
<option>Rabbi &amp; Mrs.</option>
<option>The Honorable</option>
</select></td>
</tr>
<tr>
<td>First Name<font color="#ff0000">*</font>
            </td>
<td><input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="width: 120px; background-color: rgb(255, 255, 160);" type="text" class="forminput" name="x_First_Name">   Last Name<font color="#ff0000">*</font>                                         <input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="width: 120px; background-color: rgb(255, 255, 160);" type="text" class="forminput" name="x_Last_Name"></td>
</tr>
<tr>
<td height="21" valign="top">Address<font color="#ff0000">*</font>
            </td>
<td><input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="width: 320px; background-color: rgb(255, 255, 160);" type="text" class="forminput" name="x_Address"><br>
<input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="width: 320px; margin-top: 5px; background-color: rgb(255, 255, 160);" type="text" class="forminput" name="Address2"></td>
</tr>
<tr>
<td>City<font color="#ff0000">*</font>
            </td>
<td valign="top"><input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" type="text" class="forminput" name="x_City">   State <input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" type="text" size="6" class="forminput" name="x_State"></td>
</tr>
<tr>
<td>Post Code<font color="#ff0000">*</font>
            </td>
<td valign="top"><input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" type="text" size="6" class="forminput" name="x_zip">   Country<font color="#ff0000">*</font>                                  <input title="Your Google Toolbar can fill this in for you. Select AutoFill" value="USA" style="background-color: rgb(255, 255, 160);" type="text" size="17" class="forminput" name="x_Country"></td>
</tr>
<tr>
<td>Phone</td>
<td>
<input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" type="text" size="12" class="forminput" name="Phone"></td>
</tr>
<tr>
<td class="formtext" colspan="2"><input value="H" type="radio" name="AddType" checked> This is my home address <input value="B" type="radio" name="AddType"> This is my business address</td>
</tr>
</tbody>
</table>
<div class="style6">Credit Card Details:</div>
<table width="441" class="formlabels" border="0" cellspacing="0" cellpadding="6">
<tbody>
<tr>
<td height="21" width="122" valign="top">Card Type<font color="#ff0000">*</font>
            </td>
<td height="21" width="291" valign="top">
<select title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" class="forminput" name="CCType">
<option value="" selected></option>
<option value="Visa">Visa</option>
<option value="Master Card">Master Card</option>
<option value="American Express">American Express</option>
<option value="Discover">Discover</option>
</select></td>
</tr>
<tr>
<td height="21" width="122" valign="top">Card Number<font color="#ff0000">*</font>
            </td>
<td height="21" width="291" valign="top">
<input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" type="text" class="forminput" name="x_card_num"></td>
</tr>
<tr>
<td height="21" width="122" valign="top">Expiration Date<font color="#ff0000">*</font>
            </td>
<td height="21" width="291" valign="top">
<select title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" class="forminput" name="x_exp_month">
<option selected></option>
<option>01</option>
<option>02</option>
<option>03</option>
<option>04</option>
<option>05</option>
<option>06</option>
<option>07</option>
<option>08</option>
<option>09</option>
<option>10</option>
<option>11</option>
<option>12</option>
</select><select title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" class="forminput" name="x_exp_year">
<option value="0" selected> </option>
<option value="2021">2021</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>
</select><!--                           <input type="hidden" name="x_card_num"> --></td>
</tr>
<!--
        <TR>
            <TD vAlign=top height=21 colspan="2" width="427">CVV Security Code
            <INPUT class="forminput" size=4 name="x_card_code">
            <FONT size=1>
            <A onclick="window.open('/tools/donate/CVVInfo.htm','CVVInfo','width=440,height=480,resizable=no,status=no,scrollbars=yes'); return false;" href="#">
            What's This?</a>
            </td>
        </tr>
        -->
    </tbody>
</table>
<div class="style6">Acknowledgement:</div>
<table width="442" class="formlabels" border="0" cellspacing="0" cellpadding="6">
<tbody>
<tr>
<td height="21" width="166" valign="top">Email Address<font color="#ff0000">*</font>
            </td>
<td height="21" width="248" valign="top">
<input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" type="text" size="32" class="forminput" name="Email"></td>
</tr>
<tr>
<td height="21" width="166" valign="top">Reconfirm Email Address<font color="#ff0000">*</font>
            </td>
<td height="21" width="248" valign="top">
<input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" type="text" size="32" class="forminput" name="Email_Confirmation"></td>
</tr>
<tr>
<td class="formtext" valign="top" colspan="2"><input value="email" type="radio" name="Receipt" checked> You may acknowledge my gift to my email address. <br>
<input value="mail" type="radio" name="Receipt"> Please acknowledge my gift by mail to the above street address.</td>
</tr>
</tbody>
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