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Adults JLI - For All Humankind

JLI RSVP

For more info about the course CLICK HERE
Full Name*
First Name Last Name
E-mail*

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

$89 (textbook included)

$160 special couples price
I am registering as*
I plan to particiapte*

In person at Chabad of IslipOn zoom (+$10 for shipping)
Name of all students in reservation

Payment

Credit Card Paypal Check

Total

$100.00
Should be Empty:

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