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University Day Registration 2024

Wednesday, May 8
8:50 am - 2:45 pm
Park Synagogue, 27500 Shaker Blvd., Pepper Pike

Registrant 1

* Name

* Phone number

* Email Address:

* Session 1: First Choice

* Session 1: Second Choice

* Session 2: First Choice

* Session 2: Second Choice

* Lunch Choice

	Grilled Portobello Mushroom Sandwich
	Scoops of egg salad & tuna on salad greens

Registrant 2

Name

Phone Number:

Email Address:

Session 1: First Choice

Session 1: Second Choice

Session 2: First Choice

Session 2: Second Choice

Lunch Choice

	Grilled Portobello Mushroom Sandwich
	Scoops of egg salad & tuna on salad greens

Registration

Number of Park Members

Number of Guests

If you are not currently a member, are you interested in learning more about Park and receiving our weekly e-newsletter? (check yes or no)

	Yes, I would like to receive Park's weekly e-newsletter
	No, I do not want to receive Park's weekly e-newsletter

*E-mail

*First Name

*Last Name

Account

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total: