Registration Form 

A SHABBAT WITH RABBI ISRAEL HABER

FRIDAY NIGHT DINNER & LECTURE
A Rabbi’s Northern Adventures
Friday Evening, November 2, 2007
Candlelighting at 5:24 pm
Mincha at 5:30 pm - Dinner at 6:30 pm
$36 per person, $10 per student


SHABBAT DAY KIDDUSH & LECTURE
A View from the Golan Heights
Shabbat Day, November 3, 2007
Shachrit at 9:45 am
Followed by Kiddush and Lecture

 

*Denotes required field

*Last Name               

*First Name               

*Title                       

*Phone Number         

 Email                       

 Address                   

 City                       

 Postal Code             

No. of People

*Credit Card Type     

*Credit Card Number  

*Expiration Date      

*Name on Card        

All information is gathered using SSL Secure Sockets Layer which encrypts all information sent to our server. All data regarding name, address, and credit card information is held in a secure database.