Art in Israel Registration

Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are you a Valley JCC Member?*
- Yes
- No
How did you hear about us?
Valley JCC Member Registration*
Price: $15.00
Regular Adult Registration*
Price: $18.00
3% Processing Fee
Price: $0.00
Total
Total includes a 3% Credit Card Transaction Fee
$0.00
I would like to
- Pay Now by Credit Card
- Mail My Payment By Check
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
To pay by check, after submitting this form please make your check payable to Valley Jewish Community Center Please reference “Poetry and Art Event” Mail To: Valley Jewish Community Center 18017 Chatsworth St. #217 Granada Hills, CA 91344
Would you like to be added to the Valley JCC Email List?
We'll keep you in the loop about all of our programs.
- Yes, please.
- No, thank you.
Waiver*
- I have carefully read the Valley Jewish Community Center Waiver and Release of Liability and fully understand its contents. By checking the box to the left, I am agreeing to the terms and conditions stated within and acknowledge that this will serve as my electronic signature.
Please click the submit button only once to avoid duplicate charges / submissions. Sometimes it takes a minute or two to process.
Comments
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Valley Jewish Community Center