Ashdod Mercaz Chinuch - Shemirah Bidrachim
Secure Payment Form
Order Summary
Choose Shemirah Bidrachim Plan
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$39 - Individual - 2 month policy
$72 - Individual - 4 month policy
$89 - Individual - 6 month policy
$119 - Individual - 1-year policy
$59 - Family Special - 2 month policy
$99 - Family Special - 4 month policy
$149 - Family Special - 6 month policy
$249 - Family Special - 1-year policy
Other Amount
Donation Frequency
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One Time Donation
Monthly Recurring Donation
Number of Months to charge FULL amount listed above
No End Date
Name for Prayers
None
Hebrew name for Prayers
Credit Card Information
Cardholder Name
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Card number
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Exp date MMYY
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CVV
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Billing Information
First Name
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Last Name
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Name on Receipt
Address
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Address 2
City
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State
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Zip
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Phone
Email address
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Required Fields
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