ALIT 2024 Synagogue Registration Name of Synagogue(Required) Contact Person Name(Required) Contact Phone Number(Required)Contact Person Email(Required) Total Payment Due Price: Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Consent(Required) The Rabbi or president of the synagogue has approved the submission of this form.