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REGISTRATION

Name:

Address:

Telephone:

Email:

For Session One (10:00AM), I would like to register for:

For Session Two (11:00AM), I would like to register for:

PAYMENT
The fee for this event is $50
(includes lunch, two sessions, and refreshments)

 Please charge my Credit Card
(This is a secure form. See information below)

Card Number:

Expiration Date:

 I would like to sponsor this event by making an additional donation.
Please charge my card in the amount of:

IT IS A BIG HELP.  WE THANK YOU VERY MUCH!

 I will be sending in my payment.
Please mail checks to:
CHABAD JEWISH CENTER
25 Harris Street
Glastonbury, CT 06033