2017 Spring Chalice Lighters Contribute here to Chalice Lighters Spring Call 2017. MidAmerica Region uses PayPal to process credit cards. YOU MAY USE ANY MAJOR CREDIT CARD. When you see the PayPal page, look for the line that says "pay using a credit or debit card." IMPORTANT: Be sure to follow the process all the way to the RECEIPT page. If you do not receive a confirmation email, your contribution did NOT go through. If you have any questions, please feel free to call us, 312-636-9724. Contribution Amount Believer - $ 20.00 Builder - $ 50.00 Benefactor - $ 100.00 Beacon - $ 250.00 Other Amount Other Amount $ Total Amount Email Address * Payment Options Payment Method PayPal I will send payment by check Name and Address - Individual Please fill out your name and address only if you have not contributed before! Individual Prefix Ms. Mrs. Mr. Rabbi Rev. Dr. Rev. Dr. First Name Last Name Street Address (Home) City (Home) State (Home) - none - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Postal Code (Home) Is this donation on behalf of your household? Yes No
