Chanukah Bowling Night Registration Form

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email *

—————————————————-

Cost (Non-members can receive a charitable tax receipt) *

Member – $18
Friend of a Member – $18
Non-Member – $ 36

Total Amont

$0.00

How are you paying? *

Credit Card
Cheque

Signature *

Clear Signature

Confirmation:

By clicking “Submit” below, you are agreeing to participate for the entire weekend programming and to abide by the spirit of the Shabbaton.
If you are paying by credit card, you will be redirected to PayPal to process your payment after you click “Submit”.

Chanukah Bowling Night Registration Form

—————————————————-

Please make your cheque payable to “Chai Centre Canada”

After you click “Submit” below, you will be redirected to process your payment.

Confirmation: