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How many people are you registering?
*
1
2
3
4
5
6
7
8
9
10
(including yourself)
Fill in your registration information on this page. If you are registering additional people, you will be able to enter their registration information after you complete this page and click "Review your registration".
Your Registration Info
First Name
*
Last Name
*
Email Address
*
Phone
*
Event Fee(s)
*
Single Ticket - Child (age 5-12)
-
$ 8.00
Single Ticket - Adult
-
$ 12.00
Total for this participant
Credit Card
Card Type
- select -
Visa
MasterCard
Amex
Discover
Card Number
*
Security Code
*
Expiration Date
*
-month-
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
-year-
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Billing Name and Address
Billing First Name
*
Billing Middle Name
Billing Last Name
*
Street Address
*
City
*
Country
*
- select -
Canada
Israel
Mexico
United Kingdom
United States
State/Province
*
Choose country first
Postal Code
*
Review your registration
בית חב"ד לישראלים ס.אנטוניו
info@israelichabadsa.com
|
(210)750-6770
|
15511 Oak Grove Dr., San Antonio, TX 78255
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