Introduction to Judaism

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Introduction to Judaism Registration

Please contact Joy Zotalis with any questions at 257-2944 or office@shamayim.org.

Participant Information

* Participant First Name

* Participant Last Name

* Cell Phone

* Email

Participant 2 First Name

Participant 2 Last Name

Cell Phone

* Address

* City

* State

* Zip code

Which congregation do you belong to, if any?

How did you hear about this course?

Billing Information

Scholarships available upon request. Please contact office@shamayim.org.

Member of a Madison synagogue (one person) $100Member of a Madison synagogue (couple) $175Not a member of a Madison synagogue (single) $150Not a member of a Madison synagogue (couple) $250Undergraduate/Graduate student (single) $50Undergraduate/Graduate student (couple) $100

Pay by checkBill to account (if member of Shaarei Shamayim)Pay by card

Mail checks payable to Shaarei Shamayim, P.O. Box 5081, Madison, WI 53705. Please include "Intro to Judaism" in the memo.
Credit cards will be charged after submitting the form.

Credit Card 16-digit number

Expiration date

CVV (3 digits on back of card)

Total

Sat, April 20 2024 12 Nisan 5784