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

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

Credit Card 16-digit number

Expiration date

CVV (3 digits on back of 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.

Total

Mon, January 27 2020 1 Shevat 5780