"First Name" field is required.

"Last Name" field is required.

"Street Address" field is required.

"City" field is required.

"ZIP Code" field is required.

"State" field is required.

"Country" field is required.

"Cardholder Name" field is required.

"Card Number" field is required.

"Expiration Date" field is required.

"Security Code" field is required.

Card Or Magstripe Required

Billing

First Name *

Last Name *

Street Address *

City *

ZIP Code *

State *

Country *

Credit Card

Cardholder Name *

Card Number *

Expiration Date *

Security Code *

Billing

First Name *

Last Name *

Street Address *

City *

ZIP Code *

State *

Country *

Credit Card

Cardholder Name *

Card Number *

Expiration Date *

Security Code *

Invoice 2087

Pay Invoice

From: Ohr Yitzchok Radvil
Cong. Ohr Yitzchok Radvil
174 Maple Ave.
Monsey, , NY 10952
US

To: בערגער, מאיר

Date: September 24, 2023

Invoice Number: 2087

Invoice Due: October 8, 2023

Invoice Total: $5.00

Balance: $5.00

Task

Rate

Qty

Amount

צווייטע טאג ר”ה עלה שני

$5

1

$5

Notes

For any other payment method (cash, OJC etc.), or for any other questions,
please email RadvilKH@gmail.com

Terms

Checks payable to: Cong. Ohr Yitzchok Radvil

174 Maple Ave. Monsey, NY 10952