Make a Payment

This form can be used to make any payments (e.g. anything shown on your invoice: Dues, Religious School Fees, Endowment pledge payments, Adult Ed classes). There is a notes field in the payment section for you to indicate how you want this payment to be applied.

Contact Information

Please fill this section out for the person filling out this form so we can reach out with questions or other notifications.

First Name

Last Name

Email Address

Payment Information

Payment Amount

Please do not include a $.

Payment Notes:

Any specific instructions (i.e. how to apply this payment to your account or bill)

I am paying by

Mount Zion applies a 3% surcharge to credit card transactions. Please choose ACH to avoid this charge.

Billing Address

Billing City

Billing State

Billing Zip Code

Credit Card Payment Information

Mount Zion will apply a 3% surcharge to credit card transactions. This amount is needed to cover our costs to process these transactions. To help you avoid this additional cost, we are happy to continue accepting payments via ACH or check, a simple and convenient option at no extra charge. Your support of our programming is sincerely appreciated. As always, we never want finances to be an issues. Feel free to contact Kate Tucker Sicher at ktucker@mzion.org, if you need assistance.

I'd like to add 3% to my donation in order to cover some of the associated fees so that more of my donation goes directly to Mount Zion.

3% Fee

New Total

Name on Card

Credit Card Number

Expiration Month

Expiration Year

YYYY

Verification Code

3 digit code on back

ACH/eCheck Information

Bank Account Type

Account Holder Name

If this is a joint account, please list only one name.

Bank Routing Number

Bank Account Number

Bank Name

Authnet_Hidden_Fields

Gateway Amount