American Committee for Shaare Zedek Medical Center in Jerusalem
 

SPONSOR

Choose a participant/team you wish to sponsor
        

Sponsor Amount :$ (e.g. 180.00)

Customer Billing Information
Your billing address should be entered as it appears on your credit card statement.
First Name:
Last Name:
Company Name:
Address:
City:
State/Prov:
Zip Code:
Country:
Phone Number:
Email Address:
Credit Card Payment Information:
Card Type:
Card Number:
Expiration Month:
Expiration Year:
Verification Code:
This is the 3 or 4 digit number printed on the back signature panel. It is on the front of the card for American Express.
Personalize your message (optional)
Please add the following comment to the ticker on 's personal page.  (eg: In honor of xxx)
  Please display me as anonymous on the ticker at 's personal page.


Please enter the letters or digits that appear in the security image
CAPTCHA Image 
 


Please wait a moment while we process your request.
Do not hit the "Process Payment" button more than once!
 
Shaare Zedek is a non-profit 501c3 organization.
required fields

Your IP Address: 18.116.14.12
This number can be traced back to you and is only recorded to prevent and prosecute fraud.


Home Contact Us Privacy Policy