Aleph Preschool Payments

Full Name:*

First Name Last Name
E-mail:*
Cell Phone Number:*

Area Code Phone Number
I would like to make a payment of:

$
Total

$0.00

Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment:*

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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