Ladies Mahjong Night

How many people are you registering? *

(including yourself)

First Name *

Last Name *

Street Address *

City *

State (Home)

Postal Code

Email (Primary) *

Phone-Phone (Primary) *

Anything we need to know allergy related or otherwise?

Registration

Options

Regular Registration - $ 250.00: Includes 4 sessions and your own card

Extra Donation - $ 180.00: Help cover the cost of the teacher

Snack Sponsor - $ 360.00: Cover the snacks!

Sponsor a particpant - $ 250.00: Sponsor someone who otherwise couldn't afford to join

Pay for 1st class - $ 65.00: Sometimes going bit by bit is easier

Any extra donation helps us cover the costs of operations

Other Amount

All sales final. Any unused portion of the registration will be considered a tax deductible donation.

Total for this participant

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province

Postal Code

info@schneersoncenter.org | 203.635.4118 | 228 Saugatuck Ave, Westport, CT 06880 Mailing address: 16 Railroad Place, Suite 770, Westport, CT 06880