Payment | Congregation Shirat Ha Yam

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

$ Donation Amount:

Please replace the default $10.00 amount above with the actual amount of your payment

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 A Safe Place Donation – Choose an amount Shabbat Sponsorship (Food Gift Cards) – $125 each Sponsoring Bimah Flowers on Rosh Hashanah (Sept. 6–8) – $300 Sponsoring Bimah Flowers on Yom Kippur (Sept. 15–16 ) – $300 Yom Kippur Break Fast in a Box – $36 per person Yizkor Names – Voluntary, choose an amount 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

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Total: $10.00