Approved
Name:
Amount:
Card Type:
Card Number:
Authcode:
AVS Result:
CVV Result:
OK
OK
Cancel
Binyan Chaim
Transaction Details
Choose Option
*
$1,000 -
Sponsor a kallah's classes.
$500 -
Sponsor half of a kallah's classes.
$250 -
Sponsor a quarter of a kallah's classes.
$180
$100
$54
$
Amount
*
Please help cover our fees
Final Amount
Hebrew Name to daven for
(Kallah will include on day of wedding)
Additional Comments
Repeated Payments
Ongoing
2 Months
3 Months
4 Months
5 Months
6 Months
8 Months
10 Months
12 Months
18 Months
24 Months
36 Months
Personal Information
First Name
*
Last Name
*
Address
*
Zip code
*
City
*
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Trust Territories
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Phone Number
*
Email Address
*
Credit Card Details
Pay with Check
Card Number
*
MMYY
*
CVV
?
Process Payment
Processing By
Merch Pay, Inc. is a registered ISO of Wells Fargo Bank, N.A., Concord, CA.
merchant login
merchant login
merchant login
merchant login
Credit & Debit Processing | Electronic Check Services | Gift & Loyalty Programs | Customized POS Solutions
Binyan Chaim
1660 Madison Place
Brooklyn, NY 11229
Tell: 917-952-9522
[response]
ID #[transid]
[created]
[cardholder]
$ [amount]
[cardtype] [ccnum4]
Authorization Number
[authcode]
AVS Response
[avsresult]
CVV response
[cvcresult]
[otherTransaction]