Payment info - MonseyBCM.com

Payment information
Dear Parents:

In this form we are asking you to please fill out Credit card info, this cc will be used the purpose of tuition payments.
Please note - if your prefer to pay with checks - MBCM is asking for a CC number as a backup (as long as the checks are given to the office, the cc won't be charged).

PLEASE NOTE - FIRST PAYMENT WILL BE SCHEDULED STARTING AUGUST 15th. 2023 THROUGH MAY 15th 2024.
Full Name*
First Name Last Name
E-mail*
Phone Number (of cc holder)*

Area Code Phone Number
Please note - our NEW policy - we are asking each one to submit a credit card number, so we have it for back up (please note, this is a secure webpage).

Please select your method of payment,
remember even if you pay by check you must submit a credit card number.
Please select method of payment*

Credit CardChecks
Cerdit card info*

Credit Card

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

CCV *
Payment amount per month
Date of the month (we will we will appreciate the 15th)*
Comment
Please note: for credit card payments.
By selecting the credit card option, I authorize Monsey Beis Chaya Mushka to charge my credit card for agreed upon fees. I understand that my information may be saved to file for future transactions on my account.
Should be Empty:

This page uses TLS encryption to keep your data secure.

Payment information