Online Payment Service


Credit Card Authorization Form


I, , hereby authorize AF of Yeshiva Gedola Matisyahu to charge my credit card account in the amount of:
$

Please Choose Frequency

Once   Recurring
Number of months

Please Choose Payment Type

Visa     MasterCard    AmEx     Discover
Credit Card Number Expiration Date
/
CVV

Credit Card Billing Details

Zip
E-mail
04/18/2026      
Date      

Your completion of this authorization form helps us to protect you, our valued customers, from credit card fraud. AF of YGM will keep all information entered on this form strictly confidential.