JewQ Child Registration

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JewQ Child Registration

Are you affiliated with a Chabad?*

Which Chabad are you affiliated with?*

What is your Rabbi/Rebbetzin's name?*

How did you hear about JewQ?*

Parent Name

Parent Email*

Best For Communication

Parent Phone*

Best For Communication

Shipping Address*

Address Line 1

City

State/Province

ZIP / Postal

Country

How many children are registering on this form?*

Billing

Discount Code

Cost $

Do you want to order the JewQ book ("Living Jewish")? (its one book for all grades)*

Yes No, (We have it already / we are getting it from our local Chabad)

The JewQ competition is on the content from this book,

Amount of books*

27.99 a Book, (Free Shipping in the USA)

Comments

Grand Total* $

Credit Card*