REGISTRATION FORM FOR MIAMI - PROJECT MAH JONGG

JEWISH MUSEUM OF MIAMI - SUNDAY

FEBRUARY 3, 2013

**PLEASE REGISTER EARLY. 

 

Enclosed is my FULL payment in the amount of $                              per person for PROJECT MAH JONGG EXHIBIT &  

  

  TOURNAMENT ONLY:        Museum Member - $36.00          Non Member- $54.00        Join & Play - $75.00

 

  

Name:                                                                                                                        

 

Address:                                                                                                                                                        

 

Day Phone                                          Nite Phone                                        Cell                                                    

 

E Mail                                                                                                        Badge Name:                                        

                                             Reservations are Non-Refundable and must be Paid in Full


 

  AMEX    MasterCard    Visa:  Card #                                                                              Exp Date          /             

                                                                                  

QUESTIONS:  CALL ROBERTA AT THE MUSEUM

786-972-3163OR EMAIL admin@jewishmuseum.com

                                                                                                  MAIL TO:

           -Or- Make Check Payable and Mail toTHE JEWISH MUSEUM OF FLORIDA

                                                                               301 Washington Ave

                                                                               Miami Beach, FL 33139