Bridge with Roberta – Printable Registration Form

Please print, fill out this form, and mail with your check to the address below

Name:

Address:

Town, Zip:

Phone:

E-mail Address:

Please register me (us) in:

Beginner Tuesday Morning September 10, 2019 Temple Beth Sholom 7 sessions - $230

Advanced Monday Morning September 9, 2019 Temple Beth Sholom 7 sessions - $230

♥ Send a friend a flyer – put a little bridge in their life! ♥

Name(s):

Address:

Town, Zip

Phone (optional):

E-Mail Address (optional):

Check here if you would like Roberta's bridge cruise information.

Mail your check to:
Roberta Salob, 12 Cow Path
Brookville, NY 11545

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