CTeen Tour For Humanity Form

Secure This page uses 128 bit SSL encryption to keep your data secure.

Name: 

Address: 

City:  Prov.  PC: 

Phone:  Email:

Age:  Male Female

Please charge my credit card in the amount of $10

VISA Master Card

Card number:  exp.(mm/yyyy) /

Name on the card: 

My cheque payable to OTC is in the mail.

I will be bringing cash at the event

 

Please maill all cheques to Ottawa Torah Centre 111 Lamplighters Drive Ottawa, ON K2J 0C2

Looking forward to seeing you there.

Please contact us at info@theotc.org or 613.843.7770 should you have any questions or need more information