ב"ה

Update CC

בס"ד

Dear Parent שיחי'

Throughout the year, many time a credit card can get declined due to: Card frozen b/c its was stolen, or b/c change/update of info to the card (new cc number, new expiration date etc)
Please fill out the NEW credit card info here.
Full Name*

First Name Last Name
Phone Number*
E-mail*

Payment*

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

CVV - if not applicable please write 123*
Should be Empty:

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