Mamas in Pajamas II

Class Registration

Fill out the form carefully for registration

Name *

First Name Middle Name Last Name
Phone Number *
Please enter a valid phone number.
E-mail *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Mama in Pajamas class options *

SPONSORSHIP OPPORTUNITIES

Lecture Series Sponsorship My donation will contribute toward the costs of this free program giving Moms throughout Detroit an enriching Jewish Education.

$ 100.00

General Donation I would like to give back to Aish

$ 1.00 My donation $

Total

$ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Campaign ID
Should be Empty:

Class Registration