Annual Security Fund

Full Name*
First Name Last Name
Phone Number
E-mail*
Security Fee:*

One Payment of $5002 Payments of $250 (One more payment will be charged to the same card, on the first of the next month)4 Payments of $125 (Three more payments will be charged to the same card, on the first of the next 3 months)
Additional Donation Options: I would like to make an additional donation of:

A Community Leader $720Let's get this done! $1,000Above and beyond -Shkaiach! $1,800
Other Amount

$
Total

$0.00

Payment

Credit Card Charge my card on file.

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