The Fran Snukal Camp Gan Israel Memorial & Scholarship Fund A subdivision of Friends of Calgary Chabad Established to support the Objective of Camp Gan Israel ‘NO CHILD SHOULD BE DENIED THE BEST CAMP EXPERIENCE’ DONATION FORM Every individual – and every penny – counts. Please enter the amount you would like to contribute. All donations are in CAD Dollars and are tax-deductible for Canadian residents. * required information Contact Information First Name:* Last Name:* Address Line 1:* Address Line 2: City:* Province/State:* Postal Code/Zip:* Email:* Phone: WINTER CAMP Donation Options $54.00 Day Camp - 1 day $108.00 Day Camp - 2 days $162.00 Day Camp - 3 days $216.00 Day Camp - 4 days $270 .00 Day Camp - 5 days $100.00 Lunch & Snacks for 1 Child - 1 Week $500.00 Lunch & Snacks for 5 Children - 1 Week $1,000.00 Lunch & Snacks for 10 Children - 1 Week $2,000.00 Lunch Angel Other: $ Payment Information Payment Method Please Select Check Cash Credit Card Cheque *cheque payments are to be made payable to Chabad Lubavitch of Alberta* Cardholder's Name:* Card Number:* Card Type:* Please Select American Express MasterCard Visa Expiration Date:* Month January February March April May June July August September October November December Year 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 Billing Information If the billing information is the same as the contact information check this box. If not please fill out the information below: Address Line 1: Address Line 2: City: Province/State: Postal Code/Zip: Country: -- please make a selection -- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Republic of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, US Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Select Gift Frequency I would like to make a one-time gift for the above amount: I would like to make a recurring gift for the above amount. # of Payments Payment Frequency Total Gift Amount X 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 Please Select Monthly Quarterly Annually = $ Comments or Questions: Stay involved with Chabad Lubavitch by signing up for our email newsletter. We will not share your email information with outside parties. Chabad Lubavitch eNewsletter This page uses 128 bit SSL encryption to keep your data secure.