Miscellaneous Payments

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* First Name

* Last Name

* Phone Number

* Email Address

Please make sure to include address information so we are able to send you a year-end tax receipt for any deductible portion of this payment.

Street Address

City

State

Zip

* Payment Amount

* Please let us know how you would like this payment allocated.

Please include details, for example, "credit to the account of...", "payment for...", etc. Please also let us know the best way to contact you should we have any questions.

Sat, July 27 2024 21 Tammuz 5784

Miscellaneous Payments