Payment of Dues & FEES through PayPal or Credit Card

Sharing Judaism, Enriching Lives
Payment of Dues & FEES through PayPal or Credit Card
Please complete this form to pay your Temple Dues and Sunday Learning Fees by credit card. Please note there is a 3% service fee.
Prcoess Date of this Transaction*

MonthDayYear
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Amount for Membership Dues
Membership Dues
Patricia Sarah Ashkenazi Religious School
UHS 2.0
Midrasha
Security
Capital Assessment
Voluntary Capital Assessment
United Synagogue Fee
High Holiday Pledge
High Holiday Seats
Donation Cards
Men's Club Dues
Sisterhood Dues
Other (please specify further in the Comments Field below)
Comments
How would you like to pay for your donation?*

Bill My Temple AccountBill My Credit Card* (ENTER CREDIT CARD INFORMATION BELOW)

Payment

USD

Payment Method
Credit	Express
Credit	What is PayPal?