Centennial Trip Form

Abayudaya Centennial Form

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

Number of travelers *

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

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).

Is there anything you would like us to know?

Total

$ 0.00

Credit Card *

Card Number

Security Code

Name on Card

Expiration/

Message

June 23 – July 2, 2019

Leader: $10,000

– Includes a student scholarship

Supporter: $6,000

Friend: $3,600

– Special fee for students, young adults, Jewish professionals and need-based applicants. Please contact us for more information.

Deposit: $500 per person

Please send us a message or call 415.386.2604.

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