Religious School and Hebrew Lab Payments Full Name* First Last Contact Information My contact information has changed Email* Address* Address Line 1 Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Preferred Phone #*Back Up Phone #Invoice Number* TBO School Fees*Please enter the amount of payment. NotesPlease enter any comments or notes you may have Handling Fee3% Charge to offset credit card processing fees. $0.00 Total $0.00 Consent* I agree to the following:Upon clicking on submit you will be redirected to PayPal.com to complete your dues payment via PayPal or credit card. Acceptance of this payment does not necessarily satisfy your agreed upon yearly commitment. Temple Beth Ohr reserves the right to reject incorrect payments. Rejected payments will be refunded.