Please fill out this form and make sure to scroll down and click "SUBMIT".
Then click the"PAY NOW" button.
Higest College Degree Held
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Traditional B.A. or B.S.
M.S., M.B.A or Law Degree
Ph.D. or M.D.
No Degree (I am a Portfolio candidate)
Please put your full address
122 E. Jones Plane, Brooklyn, N.Y., 11367
Cell Phone number
Home Phone number
Email Address (Please put TWO TIMES)
Seminar registration selection
please click on the circle below
$75 Registration fee
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A friend, Yated Newspaper, KGH Shuls message board, Jewish press...etc.
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