(credit card payment is currently available only for dues and tuition; not donations)
Street Address Line 1:
Street Address Line 2:
City: _____ State: ___ Zip Code: __
Phone: ( ______)- ____
□ I authorize a one-time charge against my credit card for the following amount: $
□ I authorize a recurring charge against my credit card for the following amount:
$ once every month, beginning // and ending after _______ payments.
NOTE: credit card companies deduct processing fees of approximately 3.5% from every payment. We would like to offer members the opportunity make a donations to cover those fees, allowing CBE to receive the full amount of your payment. This is not mandatory, but if you would like to cover the cost of credit card processing fees, please check the following box:
□ I authorize Congregation Beth Elohim to charge an additional amount equal to 3.5% of my dues and fees payment(s) to cover the cost of credit card processing fees. This amount is considered a donation to CBE.
CREDIT CARD INFORMATION
Credit Card Type: □ MasterCard □ Visa □ Discover Card