Thank you for your interest in supporting Chabad of Waukesha-Brookfield! Your contribution will help us to create an atmosphere that encourages and promotes Jewish values and tradition through social and educational programs.  

Phone  
If you would like to make a donation over the phone, please contact our office at 262-563-9770.

Check 
Please make your check payable to Chabad of Waukesha-Brookfield and send it to:

Chabad of Waukesha-Brookfield
1222 East Broadway
Waukesha, WI 53186-8104

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!

Chabad of Waukesha-Brookfield on Behalf of the Waukesha County Community

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 of Waukesha-Brookfield in the amount of: 
  $__________    $500    $250    $100    $50    $25   

 American Express    Discover    MasterCard    VISA

Card Number:  ________-_________-_________-_________   Exp. Date (mm/yy) ______/______


 
Your First & Last Name: ______________________________________
Address: ______________________________________
  ______________________________________
City, State, Zip: ______________________________________
Country
(if outside U.S.A.)
:
______________________________________
E-Mail address: ______________________________________
Daytime Phone: (____)______________________
Evening Phone: (____)______________________

If you would you like this gift to be a tribute, please answer the following:

SELECT ONE.

This gift is... 
   In Memory of 
   In Honor of 
To Mark a Special Occasion:
   Birthday 
   Bar/Bat Mitzvah 
   Anniversary 
   Other _____________


Honoree's Name: 

_____________________________________

To have notification card(s) sent, please complete the following.

I would like a notification card without the gift amount mailed to:

Name: ______________________________________
Address: ______________________________________
  ______________________________________
City, State, Zip: ______________________________________
Country (if outside U.S.A.): ______________________________________
From (Your name as you would like it to appear on the card): ______________________________________________

I would like a second notification card without the gift amount mailed to:

Name: ______________________________________
Address: ______________________________________
  ______________________________________
City, State, Zip: ______________________________________
Country (if outside U.S.A.): ______________________________________
From (Your name as you would like it to appear on the card): ______________________________________________