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Register for the Family Shabbaton

Register for the Family Shabbaton

Fam Shabbaton Banner.jpg
 
INFO
First name   Address
Last name   City, State, Zip
Email   Phone

REGISTRATION & PAYMENT
Name on card   Names of adults:
Card Number   Names of children: (3-12)
Sec. Code   Sponsorship $100
Exp. Date   Total: $
Pay by Check

I would like to pay by check.
Please mail checks to:
660 Merrimon Ave. Ste. C
Ashevile, NC 28804

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