Enroll Now Contact Us: Rabbi Dov Levertov [email protected] | 602.944.2753 2110 E Lincoln Dr, Phoenix, AZ 85016 Personal Information First Name Last Name Address City State Zip Home Phone Cell Phone Email Address Age Grade School Additional Information/ Comments Payment Options Individual Segment - $99 1 8 Week Course Fee - $270 [includes 3 six class segments] Bill my parents Charge CC Below Card Type Please Select Visa Mastercard Amex Card Number Exp Date Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 Cvv Code Total amount to be charged Name on Card Billing Zip Email for Reciept For Scholarship Information and Discounts, Kindly Submit the form and contact Rabbi Dov at 602.793.0152 This page uses 128 bit SSL encryption to keep your data secure.