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David Hartman Center
Kogod Research Center
Shalom Hartman Institute
of North America
Center for
Israeli - Jewish Identity
Community Leadership Summer Study Retreat
June 27 - July 4 2012
To register please complete the form below. Upon completion,
press the send button. This will lead you to a safe payment page
accepting Visa, MasterCard or American Express
where you will finish the registration process.

Participation in the Community Leadership Summer Retreat includes all lectures and activities, a full-day excursion, educational materials, Shabbat dinner and lunch, and some weekday meals. Price per person $1,700 (non-tax deductible),
First Name:
Last Name:
Mailing Address:
Home Telephone:
Business Telephone:
Mobile Telephone:
Institutional/Synagogue Affiliation:
Community Rabbi/s:
Is it your 1st SHI Retreat?
How many years have you attended previously?
How did you hear about this program?
Dietary restrictions:
I am participating this summer as a:
Additional Comments:
For further information contact:
Sharon Laufer 011-972-2-567-5418