Pesek Zman - Lecture Registration Form

Pesek Zman - Lecture Registration Form

Please submit one registration per lecture you are attending.
Which lecture are you registering for?
Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you currently a JCC member?
Member ID
Non-Member Payment Required

Pesek Zman Club lectures are open to the community. To complete your registration, non-members and those requesting more information about JCC membership are required to submit payment for the lecture.

Your registration will be confirmed once payment is received.

A payment link will be sent to the email address you provided after submitting this form.

We look forward to seeing you at the lecture!

הרצאות מועדון פסיק זמן פתוחות לציבור.

להשלמת ההרשמה, חברי קהילה שאינם חברי JCC וכל מי שמעוניין במידע נוסף על חברות ב-JCC נדרשים לשלם עבור ההרצאה. הרשמתכם תאושר ברגע שהתרחשה התשלום.

קישור לתשלום ישלח לכתובת האימייל שסיפקתם לאחר הגשת הטופס.

מצפים לראותכם בהרצאה!
Will you be bringing any guests?
Number of guests?
Guest 1 Name

First NameLast Name
Guest 1 Email
example@example.com
Guest 2 Name

First NameLast Name
Guest 2 Email
example@example.com
Guest 3 Name

First NameLast Name
Guest 3 Email
example@example.com
Guest 4 Name

First NameLast Name
Guest 4 Email
example@example.com
Should be Empty: