Form to Set Up Monthly Payment Plan

READ THIS FIRST!

 
Use this form to set up your monthly payment plan.
 
  • Please write in the "Payment Amount" exactly as what Ruth Alcabes (AOP Administrator) or Lynda Simons (ALEPH Finance and Operations Manager) has provided you (you must first check BEFORE completing this form - thanks!). 
  • IMPORTANT! MAKE SURE YOU DO THIS: Check the BOX next to "I want to contribute this amount every month." If the box is left unchecked, your payment plan will not go through and everything will have to be redone.
  • NO WORRIES! The plan's duration will be adjusted. Your credit card will not be charged every month forever. If an error occurs, we will issue a refund.
  • After you've entered all the billing information, click "Review your contribution." On the next page, verify your info and then confirm payment one more time by hitting the "Make Payment" button. Your card will then be charged and you will receive an email receipt.
Thank you and Shalom!
 

Total Amount
 
Name and email
Credit Card
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Billing Name and Address
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