Event Registration/Payment

Keneseth Israel Event Registration/Payment Form

Please fill out the form below in order to register for any KI event. You can also pay for anything here - such as your dues. Thank you!

First Name *

Last Name *

Email Address *

Street Address

City

State/Province/Region

Zip/Postal Code

Country

Phone Number

What event/item are you paying for? *

What amount are you paying? *

Note: a 2.9%+.30¢ transaction fee is applied to every credit or debit card donation. So, if you donate $100, KI would be charged $3.10 for the transaction. You may offset the cost by increasing your donation to cover the difference, or simply submit your check in person at KI or by mail. Thanks again for your support!

Questions/comments:

MAKE SURE CREDIT CARD NUMBER IS ENTERED CORRECTLY ON THE NEXT PAGE; OTHERWISE YOU WILL RECEIVE A DECLINE MESSAGE.

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