Zoom Trivia Night

Click here to view event info and fill in the form below to register.

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
VJCC Member ($10 per device)*
Price: $10.00
Non-VJCC Member Registration ($15.00 per device)*
Price: $15.00
Payment Choice*
- I'll pay by Credit Card now
- I'd like to send a check.
3% Processing Fee
Price: $0.00
Total
Includes a 3% Credit Card Fee if Paying by Credit Card
$0.00
Make Checks Payable to Valley Jewish Community Center

Please reference "Zoom Trivia Night"

Mail To:

Valley Jewish Community Center
18017 Chatsworth St. #217
Granada Hills, CA 91344
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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.
Email
This field is for validation purposes and should be left unchanged.

Valley Jewish Community Center