You can have a leaf engraved in the beautiful Tree of Life to be located at the lobby of the new Chabad House to honor Births, Birthdays, Bat/Bar Mitzvah, Weddings, Anniversaries, graduations or any other occasion and help the Chabad of Rego Park to continue growing. You can have up to 5 lines with 4 words on each line engraved on each leaf. If you need assistance with the wording please call us to 718-393-3085. Tree of Life Form Complete $10,000 Branch $5,400 Leaf $360 / Number of Leaves Donor Information First Name Last Name Address City State Zip Email Phone Dedication Leaf I would like to write on the leaf the following: Payment Information (Alternatively you can print this form and mail it with a check to Chabad of Rago Park, 62-38 99 Street, Rego Park, NY 11374-1440 ) Full Payment Two Payments (Date to be charged for balance) Card Type Visa Master Card American Express Discover Diners Club Choose One Amount to be charged Name on Card Exp. Date Month 01 02 03 04 05 06 07 08 09 10 11 12 2017 2018 2019 2020 2021 2022 2023 2024 2025 Card Number CVV Code 3 digits on the back This page uses 128 bit SSL encryption to keep your data secure.