5784 Adult Education Registration Form
We are delighted that you would like to join us for inspiring and engaging adult education! Thank you for completing this form. If you wish to register for more classes later in the year, please feel free to submit the form again or contact Leanne Bendetti, our Office Administrator, at 215-922-6590 or office@societyhillsynagogue.org.

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Email *
Participant 1 First Name *
Participant 1 Last Name *
Participant 1 Cell Phone *
Home Phone
Street Address *
City *
State *
ZIP Code *
Participant 1 is registering for the following classes: *
Required
Participant 2 First Name
Participant 2 Last Name
Participant 2 Email
Participant 2 Cell Phone
Participant 2 is registering for the following classes:
Please enter the total amount of class fees below. Please pay by check to "Society Hill Synagogue" (418 Spruce Street, Philadelphia, PA 19106) or pay online by credit card, debit card, ACH, or PayPal at https://www.societyhillsynagogue.org/payment-form *
A copy of your responses will be emailed to the address you provided.
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