Register for RAJE Leadership/Heritage Shabbaton

Shabbaton Location/Date:*
First Name:*
Last Name:*
E-mail:*
Phone:*
Age:*
ADDRESS:
Street:*
City:*
Zip:*
PHONE:
Home:*
Work/Cell*
Group*
Rooming Preference (please name up to three people)
Do you need transportation:		Yes No
Fee for the shabbaton is $25 Optional transportation for Community Shabbatons ($10 fee each way) Your spot is not reserved and finalized until payment is submitted. Your payment must be received a few days before Shabbat
How would you like to pay: Credit card, PayPal, Cash, Check If you have any questions regarding your payment, please email RAJE Finance Office at finances@rajeusa.com. Thank you!