2007 Jerusalem Yarchei Kallah

Registration Form

Please complete this online form and send the registration fees to
The Jerusalem Center of Research
23 Yona Street
POB 57058
Jerusalem, Israel 95502

Name:
Address:
Home Phone:
Business Phone:
Mobile Phone:
Email Address
Fax Number:
Medical Speciality:

Level of Learning

I can learn from original (non-English) text
yes no

I can learn with chevruta
yes no

I require a tutor
yes no

I am interested in CME credit: yes no

Registration Fee:
$1000

The registration fee should be sent to:

The Jerusalem Center of Research
23 Yona Street
POB 57058
Jerusalem, Israel 95502

Confirmation of participation will be made upon receipt of registration fees.

For further information, please contact us at: Telefax:972-2-538-3558, Email: info@j-c-r.org


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Jerusalem Center for Research - Medicine and Halacha, P. O. Box 57058, Jerusalem, Israel
Phone and Fax: 972-2-538-3558, E-mail: info@j-c-r.org

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