375 Registration Form with Payment in XCG

375 Registration Form
Full Name

First NameLast Name
E-mail
example@example.com
Phone Number

Country CodeArea CodePhone Number
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
What is your relationship to the Snoa?
Total number of Adults attending
Name of additional Adult #2
Name of additional Adult #3
Name of additional Adult #4
Name of additional Adult #5
Name of additional Adult #6
Name of additional Adult #7
Name of additional Adult #8
Name of additional Adult #9
Name of additional Adult #10
Number of Children
Name of Child #1
Age of Child #1
Age in August 2026
Name of Child #2
Age of Child #2
Age in August 2026
Name of Child #3
Age of Child #3
Age in August 2026
Name of Child #4
Age of Child #4
Age in August 2026
Name of Child #5
Age of Child #5
Age in August 2026
Name of Child #6
Age of Child #6
Age in August 2026
Please specify all that apply to your party?
Registration
Categories:All

All

Registration - Required. Please check boxes and select quantity:
prevnext( X )
Registration - Required. Please check boxes and select quantity:

375 Registration - Adults - Members of Snoa and Shaarei Tzedek
375.00 ANG Quantity



375 Registration - Children 5 to 13 - Members of Snoa and Shaarei Tzedek
100.00 ANG Quantity



375 Registration - Local Children 5 to 13 - Non Members of Snoa and Shaarei Tzedek
100.00 ANG Quantity



375 Registration - Children under 5

Free Quantity



Total

0.00 ANG
Please transfer the total above to:
MCB Account Number 14387501

Make sure to include your Name and the Transaction Number
you receive after submitting this form.

Donations

If you would like to further support Snoa with an additional donation,
please use the following link:
https://www.cxpay.services/@donation-mikve/

Masha danki!
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