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Women's Retreat 2020

February 28 - March 1, 2020
Brandeis-Bardin Campus, Simi Valley CA

Deadline to Register is January 27, 2020

Those in need of scholarship please call or email Rabbi Missaghieh at
(323) 876-8330 X 1002 or rmichelle@tioh.org

* First Name

* Last Name

* Address

* City

* State

* Zip Code

* Email

* Cell Number

Room Reservations

Private Room

Please enter the number of participants

Shared Room

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If there is someone you would like to share a room with, please enter their name

Special Needs (check if applicable)

	Handicapped accessible room on first floor
	Vegetarian Meals

Sponsorship

Sponsor a TIOH Sister(s) by donating at one of the following levels:

	Full Sponsor	$375.00
	Chai Sponsor	$180.00
	Angel Sponsor	$100.00

Other Sponsor Amount $

Name two TIOH friends you think would love this retreat (and please contact them yourself)

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Online Fee:

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

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Address Line 1

City

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Zip

Comments

Increase my donation by 3% to cover credit card fees. Please select YES to increase your donation.

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