5 1 8 E A S T S E V E N T H S T R E E T • B L O O M I N G T O N , I N D I A N A , 4 7 4 0 8

P H O N E : ( 8 1 2 ) 3 3 2 - 6 7 8 4 • F A X : ( 8 1 2 ) 3 3 2 - 6 7 8

□ Yes, I want to support the vital work of the Chabad House of IU!

Name: _____________________________________________________________

Address: ___________________________________________________________

City: ______________________ State: _______ Zip Code: ____________

Home Phone: __________________ Cell Phone: _______________________

Email: _____________________________________________________________

I want to contribute today a:

□ Monthly Donation □ One-time gift

Enclosed is my tax-deductible donation in the amount of:

□ $100 □ $150 □ $250 □ $500 □ $1,000

□ $2,500 □ $5,000 □ $10,000 □ Other Amount: $___________________

My donation is □ Dedicated to: □ In Honor of: □ In Memory of:

____________________________________________________________________

I am a: □ Parent of Student □ Grandparent of Student □ IU Alumnus

□ IU Student □ Faculty Member / Dept: _________________________

□ Friend □ Other: _______________________________________

My contribution should be used towards:

□ Shabbat □ Pesach □ Chanukkah □ Holidays □ Other: _______________

Please contact me about:

□ Planned Giving □ Stock/Securities □ Program Dedications □ Matching Gift

□ Living Memorials □ Endowments □ Building Dedications

You can also send your donation through Pay Pal to: Chabad@indiana.edu address.

The Chabad House Jewish Student Center is founded on the principle that, while Jews embrace many

levels of observance in their personal lives, there should be a place for all Jewish students — no

labels, no affiliations — to enhance the experience of being Jewish, to learn, to grow and feel at

home. We thank all of our supporters, parents, alumni and friends who selflessly give of themselves

and partner with us to support Jewish outreach and enable us to serve the students of Indiana

University and surrounding Jewish communities.

Thank you for your support! Chabad House Jewish Student Center of Indiana University is a not-for-profit corporation and federally

approved 501(c) (3) organization. All donations are tax-deductible.

518 East Seventh Street -|- Bloomington, IN 47408

www.chabadiu.com -|- 812-332-6784 -|- Rabbi@indiana.edu