American Freinds of Lev zion
Secure Payment Form
Billing Information
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Order/Invoice
Invoice cannot exceed 190 characters
Donation Type
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General
Wedding Fund
Drop in Center
Chessed Trips
Therapy Fund
Genesis Israel
Transaction Details
Amount
$
Make this a recurring transaction
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Day(s)
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Year(s)
For a total of
payments
Payment Information
Card Number
Change Card Number
MM
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04
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07
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YY
23
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73
CVV
i
CVV Is the 3 digit number on back of your Visa & MasterCard. On Amex it Is a 4 digit number in front of the card.
Account Type
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Checking
Savings
Name on Account
Routing Number
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Re-enter Routing Number
Account Number
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Re-enter Account Number
Change Acount Info
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