I would like to donate
$ every Erev Shabbos & Erev Yom Tov until my card expires (minimum $0.50).

Billing Information

First Name:*

Last Name:*

Street Address:*

City:*

State/Province:*

Zip/Postal Code:*

Country:*

Phone Number:*

Email:*

Credit Card Details

Card Type:*

Credit Card Number:*

Expiration Date:*

Month: Year:

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