Winter/Spring 2019 Me’ah Select at Hebrew College

Number of Registrants*

Discount Code

Registrant Information

Registrant 1 Name*

First Last

Registrant 1 Email*

Registrant 1 Home Phone*

Registrant 1 Mobile Phone Number (If different)

Registrant 1 Home Address*

Street Address City State ZIP Code

Registrant 2 Name

First Last

Registrant 2 Home Phone

Registrant 2 Mobile Phone Number (If different)

Registrant 2 Home Address

Street Address City State ZIP Code

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Photo Waiver*

I understand that my picture may be taken during the course of this program, and I agree to its use on the website or in other promotional materials.

Credit Card Information

Billing Address*

Same as Registrant Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Total

$0.00

Credit Card*

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Comments

How did you hear about Me'ah Select?*

Synagogue(s) where you have membership, if any:

Please tell us about your background. Why are you interested in Me'ah?

Become a Rabbi

Become a Cantor

Become an
Educational Leader

Winter/Spring 2019 Me’ah Select at Hebrew College

Me’ah Select at Hebrew College, Jewish Mystical Masters, Winter/Spring 2019

Registrant Information

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Credit Card Information

Comments

Hebrew College

discover

Become a Rabbi

Become a Cantor

Become anEducational Leader

Winter/Spring 2019 Me’ah Select at Hebrew College

Me’ah Select at Hebrew College, Jewish Mystical Masters, Winter/Spring 2019

Registrant Information

Section Break

Credit Card Information

Comments

Become an
Educational Leader