Statement Payment Form - Congregation Rodeph SholomCongregation Rodeph Sholom

Statement Payment Form

Please note that there is a 2.6% fee when paying by credit card. If you are interested in paying by ACH or wire transfer, please contact Rebekha Bhagwandin (rbhagwandin@crsnyc.org) for instructions.
Account Number from Statement**
First Name**
Last Name**
Email Address**
Please tell us how to your apply your payment using the fields below. If you are paying the full balance, you may fill out just one description/amount and we’ll apply it according to your most recent statement.
1st Description**
1st Amount**
2nd Description
2nd Amount
3rd Description
3rd Amount
4th Description
4th Amount
5th Description
5th Amount
6th Description
6th Amount
Credit Card Processing Fee
Price: $0.00
Total
$0.00
Payment Information
Credit Card**

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

Congregation Rodeph Sholom, 7 West 83rd Street, New York, NY 10024
Phone: (212) 362-8800, Fax: (212) 877-6526, Email: info@crsnyc.org
Emergency Call Number: (917) 902-6103 V2

About this site

Payment Information