Shabbos and Recovery Shabbaton Registration

Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

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Do you have any food allergies?

Please select all meals you will be joining for:

Friday Night
Shabbos Lunch
Shalosh Se’udos

Cost

Member – $0
Non-Member – $ 72

Total Amont

$0.00

How will you be paying?

e-Transfer
Credit Card

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”.

Shabbos and Recovery Shabbaton Registration

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Please send your e_transfer to: office@chaicentre.ca

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

Confirmation: