    <noscript><p><strong>על מנת לעבוד עם המערכת עליך להפעיל JavaScript בדפדפן האינטרנט שלך.</strong></p></noscript>
    <div id="shalem_payment_form_wrapper" style="display:none">
      <p>דרכי תשלום עבור יום המיון:</p>
      <ol>
<li style="margin-bottom:5px"><strong>שיק</strong> &ndash; אנא רשום/מי שיק לפקודת "מרכז שלם" בסך 210 ₪ ושלח אותו לכתובת הבאה:<br />משרד רישום וקבלה &ndash; המרכז האקדמי שלם, רחוב העסקן 3 , ירושלים, 91000</li>
<li style="margin-bottom:5px"><strong>עסקה טלפונית</strong> &ndash; אנא התקשר/י למחלקת כספים בטלפון 02-5605522 ותן/ני את פרטי כרטיס האשראי שלך.<br />חשבונך יחויב ב- 210 ₪</li>
<li><strong>תשלום מקוון (מומלץ)</strong> &ndash; נא מלא/י את הפרטים בטופס הבא: </li></ol>
      <form action="https://shalem.ac.il/he/wp-content/themes/shalem_hebrew/payment/Pay.php" method="post" name="form1" id="payment_form" target="frame" class="payment-form">
        <input name="goodUrl" type="hidden" value="https://shalem.ac.il/he/wp-content/themes/shalem_hebrew/payment/confirm.php" size="60" />
        <input name="errorUrl" type="hidden" value="https://shalem.ac.il/he/wp-content/themes/shalem_hebrew/payment/error.php" size="60" />
        <input name="ValidateLink" type="hidden" value="https://shalem.ac.il/he/wp-content/themes/shalem_hebrew/payment/confirm.php" size="60" />
        <input name="ErrorLink" type="hidden" value="https://shalem.ac.il/he/wp-content/themes/shalem_hebrew/payment/error.php" size="60" />
        <input name="total" id="total" type="hidden" value="21000" size="60" />
        <input name="currency" type="hidden" value="1" size="60" />
        <input name="maxPayments" type="hidden" value="2" size="60" />
        <input name="supportedCardTypes" type="hidden" value="True,True,True,True,True" size="60"  />
        <input name="Parmx" id="Parmx" type="hidden" value="" />
        <input name="hideParmx" type="hidden" value="True" />
        <input name="supportPhone" type="hidden" value ="02-5605522" size="60" />
        <input name="id" type="hidden" value="Must" size="60" />
        <input name="cvv2" type="hidden" value="Must" size="60" />
        <input name="authNum" type="hidden" value="" size="60" />
        <input name="shopNo" type="hidden" value="001" size="60" />
        <input type="hidden" name="sh_form_type" value="תשלום עבור יום המיון" />
          <div class="field_wrapper">
    <label for="firstname">שם פרטי</label>
    <input type="text" id="firstname" class="custom_field" name="name[firstname]" />
  </div>
  <div class="field_wrapper">
    <label for="lastname">שם משפחה</label>
    <input type="text" id="lastname" class="custom_field" name="name[lastname]" />
  </div>
  <div class="field_wrapper">
    <label for="street">רחוב</label>
    <input type="text" id="street" class="custom_field" name="address[street]" />
  </div>
  <div class="field_wrapper">
    <label for="number">מס' בית</label>
    <input type="text" id="number" class="custom_field" name="address[number]" />
  </div>
  <div class="field_wrapper">
    <label for="city">יישוב</label>
    <input type="text" id="city" class="custom_field" name="address[city]" />
  </div>
  <div class="field_wrapper">
    <label for="zipcode">מיקוד</label>
    <input type="text" id="zipcode" class="custom_field" name="address[zipcode]" />
  </div>
  <div class="field_wrapper">
    <label for="phone">מס' טלפון</label>
    <input type="tel" id="phone" class="custom_field" name="phone" />
  </div>
  <div class="field_wrapper">
    <label for="phone">כתובת דוא"ל</label>
    <input type="email" id="email" class="custom_field" name="email" />
  </div>
      <div class="field_wrapper">	
		<input type="checkbox" name="accept" id="accept" value="1">
		&nbsp;
		<label id="accept" name="accept" for="accept">קראתי את <a href="https://shalem.ac.il/he/wp-content/uploads/sites/20/2024/10/takanon-schar-limud-milgot-2024-10-27.pdf" target="_blank">תקנון שכר הלימוד</a> ואני מאשר/ת</label>
	</div>
    <div class="field_wrapper">    
    <input type="submit" value="  המשך לתשלום  " />
		<span id="loader"></span>
  </div>
	<style>
		.payment-form .field_wrapper{
			margin: 1.5em 0;
		}
		.payment-form .field_wrapper label:not(#accept){
			display: inline-block;
			width: 6em;
		}
		.payment-form .field_wrapper input[type=email],
		.payment-form .field_wrapper input[type=tel],
		.payment-form .field_wrapper input[type=text]{
			width: 25em;
			padding: 0.5em;
			border: solid 1px #dbdbdb;
		}
		.payment-form .field_wrapper input[type=submit]{
			padding: 0.5em 1em;
			color: #ffffff;
			letter-spacing: 1px;
			background: #87004f;
			border: none;
			font-size: 1em;
			font-family: 'Assistant', Arial, Helvetica, sans-serif; 
		}
		.payment-form .field_wrapper input[type=submit]:hover,
		.payment-form .field_wrapper input[type=submit]:focus{
			background: #e15d8c;
		}
	</style>
      </form>
      
      <p>לשאלות ניתן לפנות למחלקת כספים המרכז האקדמי שלם 02-5605522 או במייל <a href="mailto:finance@shalem.org.il">finance@shalem.org.il</a></p>
    </div>
    <div>
      <iframe id="frame" name="frame" frameborder="0" scrolling="no" style="height:480px; width:400px "></iframe>
    </div>
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