Centennial Trip Form

Abayudaya Centennial Trip Sign-Up Form

Please fill out the form below to reserve a spot on the trip AND/OR make a contribution to support the Centennial.

Option 1: Join the Abayudaya Centennial Trip to Uganda!

Number of travelers *

Additional Option: Sponsor a student/young adult to attend the Centennial - $3,600 per person

Option 2: I am unable to join the trip but would like to support the Centennial by making a tax-deductible donation.

1. I would like to add my name to the Abayudaya Centennial Tree in Stern Synagogue in Nabagoye with a donation of:

2. I would like to sponsor a student/young adult to join the trip ($3,600).

Additional Information

Is there anything you would like us to know?

Payment

Total

$ 0.00

Credit Card *

Card Number

Security Code

Name on Card

Expiration/

Message

Dates

June 23 – July 2, 2019

Cost

Leader: $10,000

– Includes a student scholarship

Supporter: $6,000

Friend: $3,600

Flights are not included. A limited number of scholarships are available. Students, young adults, Jewish professionals and need-based applicants should contact us for more information.

Deposit: $500 per person

Questions?

Please send us a message or call 415.386.2604.

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