Form to Set Up Payment Plan – Course Tuition

READ THIS FIRST!

Your credit card will be charged the initial payment of $1,133 when you've completed this form.
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, according to the number of courses you're taking this semester (for example, 3 months for 3 courses). Your 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!

Payment Amount *

Course Fee - $ 1,133.00

Total Amount

I want to contribute this amount every month

Name and email

First Name *

Last Name *

Email Address *

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *