Admin Payment

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Payment Taken By:

Name*

First Last

Email*

Mobile

One-Off Payment - Summer

One-Off Payment - Winter

One-Off Payment - Israel

One-Off Payment - Hachshara

One-Off Payment - Other

Machane Payment*

Insurance Payment*

Israel Machane Payment*

Hachshara Payment*

Mas Chaver Payment*

Total

Payment Card

Card Details

Cardholder Name

Phone

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