School Payments

This is a tuition payment form only and is not an enrollment form.
Please complete the school registration form prior to making a payment.

* Name

Street Address

* City, State, Zip

Early Learning through 7th Grade

School Tuition $

B'nai Mitzvah Fee

B'nai Mitzvah Fee $

Madrichim

Madrichim Tuition $

STANDARD PERMISSION

Please check all that apply

I do not give permission for my child(ren)'s photo to be used in the Temple bulletin and website with or without his/her name.
I give permission for our name address and phone number to be included and distributed on a grade level roster to encourage Temple friendships.

I would like to pay the balance in installments with the first transaction processed today.

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Online Fee:

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total:

School Payments

Early Learning through 7th Grade

B'nai Mitzvah Fee

Madrichim

Recurring Payment

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

School Payments

Early Learning through 7th Grade

B'nai Mitzvah Fee

Madrichim

Recurring Payment

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

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