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Contact Information

Name*

Payment Information

Enter the total amount that you will be paying then choose one time payment if you are paying it all today or recurring if you want to set up a payment plan.
Please make a note of what this payment is related to.
Here is where you set up your monthly payment plan. You have between 2-6 months to pay off your balance. Your first payment will be today.
Number of payments One Time OnlyRecurring
InstallmentInstallment
Payment IntervalMonth
Number of Payments

Credit Card Information

If you prefer paying by check, mail to
Bais Chana Women International,
383 Kingston Avenue, Suite 248,
Brooklyn, NY 11213.

Credit Card*
American Express
MasterCard
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Supported Credit Cards: American Express, MasterCard, Visa
Expiration Date
 

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