Israel Mission 2023 – Registration – The Chai Centre

Israel Mission 2023
Registration Form

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Cell Phone *

Email *

Do you attend Chai Centre classes on a regular basis? *

Yes
No

The non-refundable registration fee is $100

Price: $100.00

How are you paying? *

Cash / Cheque / eTransfer
Credit Card