PAYQUIQ ONLINE :: The Faster Smarter Way to Pay

TeeBeEs Hive Membership 2023-2024

Join TeeBeEs Hive by registering here. The membership fee is $360. You may pay online or mail your check payable to Temple Beth El, 350 Roxbury Road, Stamford, CT 06902.

* Parent #1 Last name

* Parent #1 First name

* Parent #1 Home address

* Parent #1 Email address

* Parent #1 Mobile phone

Parent #1 Landline number

Parent #2 Last name

Parent #2 First name

Parent #2 Home address if different from Parent #1

Parent #2 Email address

Parent #2 Mobile phone

Parent #2 Landline number if different from Parent #1

* Child #1 Name

* Child #1 Birthdate

Child #2 Name

Child #2 Birthdate

Child #3 Name

Child #3 Birthdate

* Enter the numeral 1 for membership @ $360

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase my donation by 3% to cover credit card fees. Please select YES to increase your donation.

Total: