Keepers of the Gate Donation Levels

    Golden Keeper
$5,000 and up
    Chai Keeper
$1,800 - $4,999
    Traditional Keeper
$1,000 - $1,799
    Young Keepers (under 45 years of age)

Chai Society Monthly Giving Donation Levels

    Silver Chai Society ($30/month)
$360 - $999
    Chai Society ($15/month)
$180 - $359
* required information
I would like to make this year's gift in one payment for the following amount:
:* $
I would like to pay my annual gift in installments:
Total Gift Amount $
Payment Frequency:
Installment Amount* $
# of Payments X
NOTE: This transaction will count as the first payment toward your total gift amount.
Donor Information
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
ZIP/Postal Code:*
Hadassah ID #

Prioritize My Gift Towards:

** Keepers for Nursing and Saba/Savta Keeper are available to the Keepers of the the Gate Only.

Please fill out if you are a Keeper of the Gate:

I am a New Keeper: Yes
Would you like the
David's Harp pin?:
Yes, please contact me about details.
Payment Information
:*   Explain
Credit Card Type:*
Credit Card Expiration:*
Billing Information
If the billing information is the same as the contact information, check this box.
If not, please fill out the information below:
Please contact to inquire about Automatic Renewal Options

By clicking Submit, your credit card will be processed

If you would like to mail in your payment, please address the envelope to:
Hadassah Annual Giving
40 Wall St.
PO Box 1100
New York, NY 10268-1100
Or fax to: 212.303.8018
If you have questions or concerns, please email or or call our Helpline at 1-800-928-0685.