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Full Name*

First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Location?*

In-Person Zoom
Time?*

Morning 11 AM Evening 7:30 PM
Student Registration*$150 Entire Course (Includes Student Book.) If not paying for entire course, you will need to purchase the first class and Student Book. all additional classes will be $20.

Entire Course $150Your first Class $20 + $20 Text Book Your Subsequent Classes $20
Comments
Class Sponsor $180Sponsor a class in honor or memory of someone

$180
Total

$0.00

Payment*

Credit Card I will mail a check to Chabad of Montville325 Changebridge Road, Pine Brook, NJ 07058

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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