First Name


Last Name


Email


Phone Number

Please Indicate how you wish to contribute.

I would like to:

- make a monthly contribution of $

- increase my existing monthly contribution by $

- make an annual contribution of $

- increase my existing annual contribution by $

- make a one time donation of $

Please Indicate Payment Method. We will call you for credit card and Automatic Withdrawal information. For checks, please send your check to Shambhala Meditation Center of Chicago, 7331 N Sheridan Road, Chicago, IL 60626.

Automatic Withdrawal from Bank Account
Credit Card
Check