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SPRING SESSION
 
PROGRAM INFORMATION
Dates: 
Wednesday evenings, 6:30-8:00pm 
April 18 - May 30 		Location:
Chabad of Wilmette
2904 Old Glenview Rd. Wilmette
Cost
$150 (includes dinner and textbook)
NO Teen will be turned away due to lack of funds 		 Contact:
rabbi@chaicenter.com
847-251-7707
 
REGISTRATION FORM
Last Name Email Address
First Name Age
Address Grade
City School  
Sate Additional
Information/
Comments		  
Zip
Home Phone
Cell Phone    
 
PAYMENT OPTIONS
Credit Card         I will pay by check  
Card Type CVV Code
Card Number Total Amount
Exp Date Name on Card  
Billing Address Billing Zip
 

 
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Chai Center - Chabad of Wilmette • 2904 Old Glenview Road • Wilmette, IL 60091 • 847-251-7707

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