CZK speaker Event

Speaker:
Topic:
Date:
Time:  
Location: Chabad Zichron Kedoshim 
Admission: $

Please use following form to register your seat(s).

  Name
Man
Woman
Phone Number
1.
2.
3.
4.
5.


Please use the following form for payment:

Personal Information
Title Province    
First Name Postal Code
Last Name Country
Address Phone
City Email Address
mm/yy
$

Please call me for payment arrangements