Education Registration
Please fill out this form and make sure to scroll down and click "SUBMIT".

Then click the"PAY NOW" button.

Thank you.

Higest College Degree Held *
Last Name *
Your answer
First Name *
Your answer
Please put your full address *
122 E. Jones Plane, Brooklyn, N.Y., 11367
Your answer
Cell Phone number *
Your answer
Home Phone number *
Your answer
Email Address (Please put TWO TIMES) *
Your answer
Seminar registration selection *
please click on the circle below
How did you hear about us? / Also...Fill in any special requests or comments.
A friend, Yated Newspaper, KGH Shuls message board, Jewish press...etc.
Your answer
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