Registration Form 

 

Instructions:

Register with this form if you are paying via Zelle, Venmo, cash, or credit card.
 

1. Fill out the form and select the payment mode in the drop-down.

2. Submit the form.

3. Make your payment: Registration without payment cannot be confirmed. 

Credit card payment is available at a 4% surcharge. Please provide credit card details to Bruria by email only: bruria.usa@gmail.com
 

Cash: fill out the form and select "Cash Payment" in the dropdown menu 
When paying with cash, you must print out and attach this completely filled-out registration form. Each person sharing a room must also fill out a registration form; your payment can’t be processed without one. Please mark on the envelope – Rokdim Chicago Beketzev Acher 2025
 

To pay by Zelle or Venmo:

Zelle: 7734547709

Venmo: @Bruria-kohen

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CANCELLATION POLICY: In order to cancel your registration and receive a refund, a written notification needs to be received by email according to the dates listed below:

January 13-February 27, 2025: 50% non-refundable

February 27,- March 27, 2025: NON-REFUNDABLE FOR ANY REASON