Temple Beth Torah - Acceptiva

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for your sending your child to Gan Sameach Preschool, part of the Temple Beth Torah Community. We look forward to you and your child’s involvement with Gan Sameach.

Payments

Qty

Description

Amount

Total

First Time Registration

$80.00

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Continuing Student Registration

$25.00

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Deposit to hold your spot

$50.00

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(refunded upon first month tuition)

Tuition Payment

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Donation

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I would like to add 3% to my total to help offset credit/debit card processing costs.

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.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *