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Caffeine for the soul registration

Caffeine for the soul registration

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Yes! I'd like to RSVP for Caffeine for the soul
Personal Information:
Last Name City/State/Zip
First Name Phone
Address Email
Yes! I'd like to bring a friend!
Friend's Information:
Last Name City/State/Zip
First Name Phone
Address Email

Suggested donation:

$150 for the full course ~OR~
$25 per class



METHOD OF PAYMENT
I will mail in a check - Check Amount:
Mail to:
Chabad BPC / Caffeine for the soul
395 South end avenue #5f New York, NY 10280

I will pay using the online form below
Name on Card Charge Amount
Card Type Card #
Exp. Date CVV Code 3 digits on back of card
Yes! I would like to volunteer on the committee for Caffeine for the soul. Please contact me at the phone number listed above.

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