Yeshiva Ketana of Los Angeles
Secure Payment Form
Donation Information
Amount
Day of Learning - One Class - $100
Day of Learning - Whole School - $360
Week of Learning - One Class - $500
Week of Learning - Whole School - $750
Month of Learning - Whole School - $1,000
Siyum/Special Event - $360
Other
Amount - Other
Make this a recurring transaction
Every
Day(s)
Week(s)
Month(s)
Year(s)
For a total of
payments
Billing Information
Title
Select...
Mr.
Miss
Mrs.
Ms.
Dr.
Custom Title
Title - Custom Title
First Name
Last Name
Country
Street
City
State
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip
Email
Phone
Sponsorship Information
Sponsorship Type
Select...
Day of Learning for One Class
Day of Learning for the Whole School
Week of Learning for One Class
Week of Learning for the Whole School
Month of Learning for the Whole School
Siyum/ Special Event
Sponsor Date
Hebrew Date (for Yahrtzeit/Memorial)
Sposored For
Select...
For the refuah sheleima of
In loving memory of
In honor of
Sponsored For (name)
Dedication Message
Grade
Select...
Nursey
Kindergarten
Pre-1
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Payment Information
Card Number
Change Card Number
MM
01
02
03
04
05
06
07
08
09
10
11
12
YY
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
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
Select One
Checking
Savings
Name on Account
Routing Number
i
Re-enter Routing Number
Account Number
i
Re-enter Account Number
Change Acount Info
Process Payment
(
$
0.00
)
X