Registration for International March of the Living Alumni & Friends Dessert Reception in South Florida - Tuesday, February 12, 2019
Please join us for an International March of the Living Alumni and Friends Dessert Reception, in partnership with March of the Living Broward, Miami-Dade and Southern Regions.

Tuesday, February 12, 2019 at 7:30 PM
Beth Torah Benny Rok Campus
20350 NE 26 Avenue, Miami, FL 33180

Free admission with advanced registration via the form below.

For General Information, please contact the International March of the Living office at 212.869.6800 or motl@motlmail.org

For information regarding the specific regions in Florida listed below, please contact:
• Miami-Dade: Carly Orshan at 305.576.4030
• Broward: Rochelle Baltuch at 954.660.2077
• Southern Region: Jack Rosenbaum/Roneet Edrich at 561.852.6013

You will receive a confirmation email upon completion of your registration.

Email address *
ALUMNI REGISTRATION
If you are attending with other alumni, you will be prompted to submit an additional response upon completion of this form. For non-Alumni guests, please see guest section below.
Alumni First Name *
Your answer
Alumni Last Name (please include your maiden name if applicable) *
Your answer
Cell Phone *
Your answer
Year(s) of Participation *
Your answer
Region/Delegation of Participation *
Program(s) of Participation *
Required
I would like to be part of a focus group dealing with Alumni activities *
GUEST REGISTRATION
Please list the first and last name(s) of non-alumni guests who will be joining you
Your answer
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