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Summer 2022 Hebrew Registration

Please indicate whether you would like virtual or in person for summer Hebrew. Hebrew will be 10 weeks and can start the week of May 15 and go through the week of August 21.
if you are registering more than 2 students, please email Laura Wildman at Lwildman@unitedhebrew.org or fill out the form twice.

Student 1

* First Name

* Last Name

Summer Hebrew

10 weeks

$180.00

If you would like to pay by check/Venmo please email, Laura

Virtual or In Person?

	Virtual
	In Person

Student 2

First Name

Last Name

Summer Hebrew

10 weeks

$180.00

If you would like to pay by check/Venmo please email, Laura Rosenberg

Virtual or In Person?

	Virtual
	In Person

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

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Total:

Summer 2022 Hebrew Registration

Account Details

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

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

Summer 2022 Hebrew Registration

Account Details

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

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

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