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Register for the Summer Institute on Teaching the Holocaust

You will have an opportunity to make a secure online payment after submitting this form.

If you would like to pay by check, please send your check made out to "The Breman" to:

The Breman
Attn: Judi Ayal
1440 Spring St. NW
Atlanta, GA 30309

For more information, please contact Dr. Lili Baxter at 404-870-1872 or by e-mail.

Please fill out completely.
* required field

*Name:
 
Address:
 
City:
 
State and Zip:
 
*E-mail:
 
*Phone:  
Current Teaching Assignment
School:
 
Grade(s):
 
Subject(s):
 
Have you taught the Holocaust? yes no
If so, for how many years?
Topics of Special Interest:
 
Additional Comments:
 

Will pay online (click on the link on the page that loads after you submit this form)

Will send a check to The Breman, 1440 Spring St. NW,
Atlanta, GA 30309 with a copy of this form.

Am interested in a teacher's scholarship and understand that a $25 application fee must be paid online or by check.

I am a member of The Breman.

Please send Breman Museum membership information.

 

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