Rachel Goldberg-Polin Program

Registration closes November 10th or as soon as spots fill up.
Full Name*
First Name Last Name
E-mail*
Phone Number*
Admission*

$100/person$1000/sponsorship, includes 2 VIP Seats and tickets to the Sponsors Reception
Number of people attending*
Additional seat
First Name Last Name
Full Name #2*
First Name Last Name
Full Name #3*
First Name Last Name
Full Name #4*
First Name Last Name
Full Name #5*
First Name Last Name
Full Name #6*
First Name Last Name
If you have a promo code, please enter it here
Which Greenwich School do you teach at?*
Total

$0.00
Payment Method

Credit CardMailed Check
Please mail payment to the address below and include the program name in the check memo.

Chabad of Greenwich
75 Mason Street
Greenwich, CT 06830

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

This page uses TLS encryption to keep your data secure.

Registration closes November 10th or as soon as spots fill up.