Approved
Name:
Amount:
Card Type:
Card Number:
Authcode:
AVS Result:
CVV Result:
OK
OK
Cancel
Yeshiva Ohr Shraga Lakewood
750 Vassar Avenue • Lakewood, NJ
08701
9th Anniversary Dinner - Reishis Bikurei Tribute
Recognizing our Founding Parents
Transaction Details
Dinner Journal Ad Type
Founder Page - $18,000
Builder Page - $10,000
Benefactor Page - $5,000
Platinum Page - $3,600
Diamond Page - $2,500
Chai Page - $1,800
Gold Page - $1,000
Silver Page - $720
Bronze Page - $500 *
Hakaras Hatov - $360
Inscription - $180
Complimentary - $72
The journal will be in an honor scroll format without formal ads. Donors will be recognized by name per designated honor (Rebbe, Menahel, etc.) and dedication level.
Name of Donor
Place Ad in Honor of
Credit Card Details
Pay with Check
Name on Card
*
Card Number
*
MMYY
*
CVV
?
Address
Zip
Email Address
*
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
Yeshiva Ohr Shraga Lakewood
750 Vassar Avenue
Lakewood, NJ
08701
Tell: 732-994-5955
[response]
ID #[transid]
[created]
[cardholder]
$ [amount]
[cardtype] [ccnum4]
Authorization Number
[authcode]
AVS Response
[avsresult]
CVV response
[cvcresult]
[otherTransaction]