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Register

Register

Jewish Community Center - Registration Form

First Name
Last Name Address
City
State Zip
Email
Phone
 
I will be attending the following program/s:

Challah Baking Class
First Friday of Each Month
$18 per week

Attending

Please Enter Date

Sara's Kitchen

$50 Per Class

Attending

Please Enter Date

An Evening with Dennis Prager

Dinner with Dennis & Reserved Front Seating - $150

Reserved Front Seating - $50

General Admission - $30

Student Admission with I.D. - $10

Number of Tickets

Type of Ticket

JLI: The Jewish Course of Why

$120 for 6 week course

$ 96 - 20% off if purchased before Feb. 3rd

Number of Attendees

Chassidic Pop Art

$15 entrance fee

Number of Attendees

South Bay Jewish Law Forum

Entrance - $125

Table (up to 8 participants) - $750

Number of Tickets

Type of Ticket

Other Program
Please Specify

Adults
Children

Total Amount
Card Type
Card Number
Exp. Date
CVV Code
Comments
Email Address
Reconfirm Email Address
You may acknowledge my gift to my email address
Please acknowledge my gift by mail to the above street address
Comments

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