Rosh Chodesh Society Registration Form

One Wow Moment: A seven-month course for women
Full Name*

First Name Last Name
Birth Date

Month Day Year
Phone Number*

Area Code Phone Number
E-mail*
Registration:*

Full course fee: $100 (Includes a book)Individual class fee: $18
Sponsor a Rosh Chodesh Society Evening
Sponsorship Options:

Gold Sponsor - $360Silver Sponsor - $180Bronze Sponsor - $100
Total

$0.00

Payment

Credit Card Check

Postal / Zip Code

Country

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