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Getting Comfortable with Conflict Community Training Registration Form
Please fill out this form to register for the upcoming community training at Har Shalom!
Contact Information
Name
*
First Name
Last Name
School or Organizational Affiliation (if applicable)
Telephone number
Email
*
Verify Email
*
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
E-News Subscription
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select one
Yes
No
Amount
*
$75
-
Community Member Price
$50
-
Non-Profit Staff Price
$25
-
Student Price
$0
-
Pay by Check
Add 3% to my total amount to help cover the payment processing fees