Temple Shalom Congregation

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for placing your Hamantaschen order!
Each flavor is sold at $10 per dozen.

Hamantaschen Flavor

Qty

Description

Amount

Total

Apricot

$10.00

---

Chocolate

$10.00

---

Strawberry

$10.00

---

Cherry

$10.00

---

Poppy

$10.00

---

Prune

$10.00

---

Total: $0.00

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Test Payment Information (enter below)

Name on Card = test
Card Type = VISA
Card Number = 4222222222222 (4 followed by 12 twos)
CSC = 123
Exp Date = 10/20

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *