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Chai Society Pledge Commitment Form
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
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Country
Student's Info

First Name
Last Name



Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Pledge Information
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Note: Chai Society membership begins at $1,800.
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Note: In choosing Yes, your name will NOT appear in our Annual Report's Honor Roll of Supporters.
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