Member Payments to Our Northwestern CT Jewish CommunityGreater Washington Coalition for Jewish Life

Payment Amount*

What is this payment for?*

Payment Information

Payment Method*

Pay by credit card (processed by PayPal; no PayPal account required)
Pay by check

Would you like to add an amount to cover the credit card convenience fee?

Yes - let me add a 3% contribution

Additional contribution to cover the credit card convenience fee

Price: $0.00

Total

$0.00

After you submit this form, please mail a check for the donation amount, with a copy of the email receipt you will receive, to: GWCJL, P. O. Box 1456, Washington, CT 06793.

Billing Information

Billing Name*

First Last

Billing Address*

Street Address City State ZIP Code

Billing Phone*

Billing Email*

Please note that upon submission, you will be taken to PayPal's website in order to enter your credit card information.

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