RSI Summer Gathering 2023

Personal Information

First Name

Last Name

Email

Confirmation will be sent to this address

Email Type

Phone

Phone Type

Pronouns

Birthdate

Mailing Address

Country

Street Address

City

State

Provinces

State/Province

Post/Zip Code

Admission Type

General AdmissionStudent Admission

Scholarship Approved

Scholarship

Campaign Member ID

No Payment

Nopay

Page 2

Background Information

Please provide a brief bio. This may be shared with other program participants.

Do you identify with a particular Jewish denomination or movement?

Page 3

Payment Information

We believe that finances should not be an obstacle to participation and want to make sure that all who wish to learn with use will be able to. Please don’t hesitate to contact programs@hadar.org if finances pose an obstacle to participation.

Payment is a sliding scale of $36-$360.

Payment Amount

$

Minimum amount is $36.

I have a discount code.

Yes

Discount Code

Discount Amount

Payment Information

Use the name and email from the first page for the payment

Name on Card

Billing Email

Receipt will be sent to this address

Card Type

Card Number

Credit card information is not stored by Hadar.

Month

Year

Code

Total

$

Please click below to submit your registration.

Hidden fields for Stripe

Name for Stripe

Email for Stripe Connector

Cardholder's First Name

Cardholder's Last Name

Billing Email

Receipt will be sent to this address

Paying?

No payment

No pay