Flame of the Future September 17, 2021 Flame of the Future CBI’s Youth Department Lights the Way to Our FutureName* First Last Email* Phone*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code "Chai" Light Sponsorship Price: $18.00 Quantity: Includes one light for a child in our Youth Department and supports CBI Youth programming throughout the year."Double Chai" Light Sponsorship Price: $36.00 Quantity: Your Double-Chai sponsorship includes the above and supports the Paul Kahn Youth Fund, a scholarship fund that enables children in need to participate in our Youth Group programming and summer camp. Total Payment Method* Charge my account on file I will send a check to the CBI office Credit Card (Visa or MasterCard) Credit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name
