Printed fromChabadGleneira.com

ב"ה

Seat/Membership Registration/Renewal Form

Welcome to our High Holiday Seat/Membership Registration/Renewal Form
Please submit this form by 9 September 2024
Full Name*
First Name Last Name
E-mail*
Please enter names of persons you wish seats to be allocated for this year
Person 1
First Name Last Name
Person 2
First Name Last Name
Person 3
First Name Last Name
Person 4
First Name Last Name
Person 5
First Name Last Name
Person 6
First Name Last Name
Person 7
First Name Last Name
Person 8
First Name Last Name
Please tick the box if you do not wish to have seats allocated for you this year. Please understand that your seat/s from previous years may be permanently allocated to others on the waiting list
Payment Options
Regular seat: $695, Student/Pensioner: $595
OPTION 1: I would like to pay the full amount now

$ AUD
OPTION 2: I would like to pay the full amount in monthly installments.

3 months6 months9 months12 months

Payment*

Credit Card Bank Transfer

Comments
Should be Empty:

This page uses TLS encryption to keep your data secure.

Our Programs