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Events Women's Events

Rosh Chodesh Society

1. Your Information
Full Name
First Name Last Name
E-mail
Phone Number
2. Reservation
I am registering for

Tuesday MorningsWednesday Evenings
*You are welcome to switch back and forth between morning and evening classes.
Number of attendees* $100/full course
3. Dedication Opportunities
Choose one date and a sponsorship amount.
Check off which class you'd like to sponsor:

November classDecember classJanuary classFebruary classMarch classApril class
Sponoship Amount

Half Sponsor - $72Full Sponsor - $144
In Memory or In Honor Of
In honor of an upcoming birthday, anniversary or any special occasion
Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Should be Empty:

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Programs