Registration I am registering for* All 7 Women's EventsIndividual EventsSponsorship only (not attending) I am a* Member – $225Non Member – $350 Not a member? You can become one at palmbeachjewish.com/membership Select your events* Monday, November 9 – Generating a UniverseMonday, December 7 – Engendering Evil • Ladies’ Chanukah BrunchMonday, December 28 – Emergent ShameTuesday, February 2 – DivergenceMonday, February 22 – Degeneration • Purim Katan Ladies' BrunchMonday, March 15 – Regenerating SocietyMonday, April 5 – Convergence I am a* MemberNon Member Number attending “Generating a Universe” (Lesson 1)* $60 per person Number of members attending “Generating a Universe” (Lesson 1)* $45 per person Number attending “Engendering Evil” and Ladies’ Chanukah Brunch (Lesson 2)* $60 per person Number of members attending “Engendering Evil” and Ladies’ Chanukah Brunch (Lesson 2)* $45 per person Number attending “Emergent Shame” (Lesson 3)* $60 per person Number of members attending “Emergent Shame” (Lesson 3)* $45 per person Number attending “Divergence” (Lesson 4)* $60 per person Number of members attending “Divergence” (Lesson 4)* $45 per person Number attending “Degeneration” (Lesson 5)* $60 per person Number of members attending “Degeneration” (Lesson 5)* $45 per person Number attending “Regenerating Society” (Lesson 6)* $60 per person Number of members attending “Regenerating Society” (Lesson 6)* $45 per person Number attending “Convergence” (Lesson 7)* $60 per person Number of members attending “Convergence” (Lesson 7)* $45 per person Please list names of attendees * Payment Info Full Name* First Name Last Name Email* I would like to receive news and updates by email Cell Phone* Address* Street Address Street Address Line 2 City State Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Sponsorship Opportunities $5,000 Course Sponsor$1,800 Class Sponsor$500 Class Co-sponsor$360 RCS Contributor In honor of Total $0.00 Payment* Credit Card Paypal Cash / Check / Cash App Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearPaypal has been selected. Payment will take place on the next page.Cash/check payable to The Chabad House: 361 S. County Rd. Palm Beach, FL 33480.CashApp: $HindelLevitin.Please click SUBMIT at the bottom of this page and then open Cash App to send your payment total, this form does not automatically redirect you to pay. Additional Comments Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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