Engage. . . A Relational Judaism Approach to Membership, Marketing and Communications

Only fill in mailing address if its different than your kehilla/synagogue.

District Event Registration

Individual Prefix

First Name *

Last Name *

Email *

Please type your synagogue city for quick search results of the name ...

Synagogue *

If you have more than one, please select your primary role.

Synagogue Role

Special Dietary Requirements

If you have a discount code, enter it here

Couvert *

Couvert - $ 20.00

Total

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

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