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Register for the Summer Institute

Please submit one registration form per course or program. To make a credit card payment through our secure online website, click on the payment link on the page that loads after you submit 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:  
*Which course or program would you like to attend?
 
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. NOTE: All scholarship moneys have been awarded for the 2010 Summer Institute.  A few places remain at full tuition.

I am a member of The Breman.

Please send Breman Museum membership information.

 

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