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Jewish Living Delaware Online Payment Form

Please complete the form below to make a payment for an ad placed in Jewish Living Delaware or our Shalom Delaware guide.

First Name *
Last Name *
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$
Is this a prepayment?
Please select "YES" if you are paying for an ad that will appear in the future. Select "NO" for ads already printed.
Please indicate for which month(s) and the year this payment satisfies.
If you have a statement, please provide the invoice number associated with this ad.
Credit Card Information
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Cover the fee associated with this online transaction?
Your total payment will be
Your credit balance will cover
Your credit card will be charged
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