Registration Form Full Name* First Name Last Name E-mail* I would like to receive news and updates by email Seminar Fee: $109. (Book included) Men and women are welcome, no one is turned away due to lack of funds. Contact Rabbi Mendel to be accomodated. Sponsorship (Optional) Consider sponsoring an upcoming class or event in honor of a loved one. I'd like to sponsor the seminar or give a donation (above the $109 fee) Write amount Sponsorship details: Payment Payment* Credit Card We accept Visa, MasterCard, American Express Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 Expiration Year Comments Submit Should be Empty: This page uses TLS encryption to keep your data secure.