Payment | Congregation Shirat Ha Yam

Use the form below to complete payments for events, sponsorships, etc.

$ Donation Amount:

Payment Amount

Please select the item or items for which you are making payment and then enter the total payment amount into the payment box above. If you are making a payment for an item not listed below, please select Other and describe the purpose of your payment in the box below.

Payment is for * Shabbat in a Box by Keepers – $25 per person Golf – $70 per person with Miacomet Club Resident Card, $105 per person without Yom Kippur Break Fast in a Box by Keepers – $36 per person Recalling Names at Yizkor – voluntary amount Sponsoring Bimah Flowers on Rosh Hashanah (Sept. 18–20) – $300 Sponsoring Bimah Flowers on Yom Kippur (Sept. 27–28 ) – $300 Other

if you selected Other above, please describe the purpose of your payment

Personal Information

Title

First Name *

Last Name *

Email Address *

Phone *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

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Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Total: $10.00