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	Help the Family - Chabad Naples
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<span style="font-size: 36px;">
<span style="font-family: arial; font-size: 36px;">Mitzvahs for Lilly</span></span></div></h1></td>
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<span style="font-size: 18px;">
<span style="font-family: arial;">What we can do now<br/></span></span></div></td>
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			<h1 class="article-header__title js-article-title js-page-title">Help the Family</h1>
		
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<p>
        <font color="#000000" size="3"><strong>Help Lilly's Family and her brother Moses
<br>
<br></strong></font>
      </p>
<p><span style="font-size: 14px">After speaking with the parents, there are a lot of challenges to still be met.
<br></span></p>
<p><span style="font-size: 14px">However, they have mentioned what a wonderful gift it would be to be able to send younger brother Moses to preschool in the fall.  While they don't have the resources to do that, we believe that it is possible ... with your help.</span></p>
<p class="Remove"><span style="color: rgb(0,0,0)"><span style="font-family: Arial; font-size: 14px">I want to make a contribution of: </span>
<br></span> <span style="color: rgb(0,0,0); font-size: 14px"><strong><input tabindex="6" type="radio" name="Amount" value="54"> $54  </strong>  <strong><input tabindex="8" type="radio" name="Amount" value="180"> $180   <input tabindex="9" type="radio" name="Amount" value="360"> $360   </strong> <strong><input tabindex="10" type="radio" name="Amount" value="720"> $720 </strong>   <input tabindex="11" type="radio" name="Amount" value="1,800">  <strong>$1,800</strong>
<br></span></p>
<p><span style="color: rgb(0,0,0); font-size: 14px"><strong><input tabindex="13" type="radio" name="Amount" value="Other"> Other amount  $</strong> <input tabindex="14" size="8" required="false" name="AmountOther" value=".00" type="text">
<br></span></p>
<p><span style="color: rgb(0,0,0); font-size: 14px">This contribution is for:</span> <select tabindex="1" size="3" name="Contribution"><option value="Moses">Moses' Tuition</option>
          <option value="Family">Assistance for the Family</option>
          <option value="Both">Both</option></select> </p>
<p><span style="color: rgb(0,0,0); font-size: 14px">Note or message to the family:</span></p>
<p>
        <font class="covertype"><textarea class="light" tabindex="4" rows="3" cols="51" required="false" style="width: 443px; height: 80px" name="Details"></textarea></font>
      </p>
<p> <span style="color: #ff0000"><strong>*</strong></span> Denotes required field</p>
<table dir="ltr" class="covertype" border="0" cellspacing="0" cellpadding="6" width="100%">
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            <td height="13" valign="top" width="290"><select tabindex="5" size="1" name="Title"><option value="0" selected></option>
                <option value="Chaplain">Chaplain</option>
                <option value="Dr.">Dr.</option>
                <option value="Dr. &amp; Mrs.">Dr. &amp; Mrs.</option>
                <option value="Drs.">Drs.</option>
                <option value="Mr.">Mr.</option>
                <option value="Mrs.">Mrs.</option>
                <option value="Ms.">Ms.</option>
                <option value="Mr. &amp; Mrs.">Mr. &amp; Mrs.</option>
                <option value="Rabbi">Rabbi</option>
                <option value="Rabbi &amp; Mrs.">Rabbi &amp; Mrs.</option>
                <option value="The Honorable">The Honorable</option></select></td>
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<tr>
            <td height="6" valign="top" width="121">First Name<span style="color: #ff0000">*</span></td>
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            <td height="6" valign="top" width="121">Last Name<font color="#ff0000">*</font>
            </td>
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<tr>
            <td height="47" valign="middle" width="121">Address Line 1<span style="color: #ff0000">*</span></td>
            <td height="47" valign="middle" width="290"><input class="light" tabindex="8" required="true" name="Address" type="text"></td>
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<tr>
            <td height="21" valign="middle" width="121">Address Line 2</td>
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<tr>
            <td height="12" valign="middle" width="121">City<span style="color: #ff0000">*</span></td>
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<tr>
            <td height="13" valign="middle" width="121">State</td>
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<tr>
            <td height="12" valign="middle" width="121">Post Code<span style="color: #ff0000">*</span></td>
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<tr>
            <td height="13" valign="middle" width="121">Country<font color="#ff0000">*</font>
            </td>
            <td height="13" valign="middle" width="290"><input class="light" tabindex="13" required="false" name="Country" value="USA" type="text"> <!--<SELECT class=light
      name=Country>
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      selected>
      <OPTION>Mr.</OPTION>
      <OPTION>Mrs.</OPTION>
      <OPTION>Mr. &amp; Mrs.</OPTION>
      <OPTION>Dr.</OPTION>
      <OPTION>Dr. and Mrs.</OPTION>
      </SELECT>--></td>
          </tr>
<tr>
            <td height="13" valign="middle" width="121">Phone</td>
            <td height="13" valign="middle" width="290"><input class="light" tabindex="14" required="false" name="Phone" type="text"></td>
          </tr>
<tr>
            <td height="21" valign="top" width="425" colspan="2">This is my <input tabindex="15" checked type="radio" name="AddressType" value="Home"> home <input tabindex="16" type="radio" name="AddressType" value="Business"> business address.</td>
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<p> </p>
<table dir="ltr" class="covertype" border="0" cellspacing="0" cellpadding="6" width="100%">
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                <option value="Master Card">Master Card</option>
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                <option value="Discover">Discover</option>
                <option value="Diners Club">Diners Club</option></select></td>
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<tr>
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<tr>
            <td height="21" valign="top" width="122">Expiration Date<span style="color: #ff0000">*</span></td>
            <td height="21" valign="top" width="291"><select class="light" tabindex="19" name="x_exp_month"><option value="01" selected>01</option>
                <option value="02">02</option>
                <option value="03">03</option>
                <option value="04">04</option>
                <option value="05">05</option>
                <option value="06">06</option>
                <option value="07">07</option>
                <option value="08">08</option>
                <option value="09">09</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option></select> <select class="light" tabindex="20" name="x_exp_year"><option value="2012" selected>2012</option>
                <option value="2013">2013</option>
                <option value="2014">2014</option>
                <option value="2015">2015</option>
                <option value="2016">2016</option>
                <option value="2017">2017</option>
                <option value="2018">2018</option>
                <option value="2019">2019</option></select></td>
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                <font size="3">CVV Security Code</font> <input class="light" tabindex="21" size="4" required="true" name="x_card_code" type="text">                           <font color="#ff0000" size="3">Charge my card in the amount</font> <input class="light" tabindex="21" size="10" required="true" name="x_Amount" value=".00" type="text"></p>
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<p> </p>
<table dir="ltr" class="covertype" border="0" cellspacing="0" cellpadding="6" width="100%">
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            <td height="21" valign="top" width="428" colspan="2"><strong>Acknowledgement</strong></td>
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            <td height="22" valign="top" width="428" colspan="2"><input tabindex="26" type="checkbox" name="ContactMe" value="Yes"> Please contact me to discuss additional giving opportunities.</td>
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            <td height="22" valign="top" width="428" colspan="2"><strong> Recurring donation:
<br></strong> <input tabindex="27" type="checkbox" name="Recurring" value="Yes"> Please charge the above amount to my card each month for the next 12 months.</td>
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