REGISTRATION Please fill out the form and click submit below. See dates and locations below. If you struggle with the registration process then just send an email to [email protected] with your preferred date/location. ______________________________________________________________________________________ I would like to attend Great Debates in Jewish History with Rabbi Ari Kievman: 6 Wednesdays 9:45am-11:15am 25 October through 29 November Chabad House 27 Aintree Ave, Savoy 6 Thursdays 7:15pm-8:45pm 26 October through 30 November 2017 Kirsh Goodness & Kindness Centre 8 Stella Street, Sandton Course Cost: R499 full course or R100 per class 15% couples discount TRY THE FIRST CLASS FREE Payments can be made via credit card below (processed in our office), or cash payment at the class, or via EFT into our account - Account number: 62457937989 FNB Balfour Park - Branch : 250-655, Reference: your name Please email your proof of payment immediately to [email protected] - Thank you! Everyone is welcome! No one will be turned away for lack of funds. Bursaries and discounts are available. Please consider sponsoring the costs related to this course. Dedication of entire course is R7,700. Email [email protected] for any JLI related inquiries, call Chabad House 011-440-6600 or Rabbi Ari Kievman at 079-434-1293. You may also request for this course to be held at a location of your choice. Contact Information _________________________________________________________________________________________ # of Participants registering on this form Promotional Code You may register multiple course participants at the same location with this form. If participants will be attending at different locations, please register each separately. Participant 1 First Name Last Name Address Phone Email Participant 2 First Name Last Name Address Phone Email Participant 3 First Name Last Name Address Phone Email Payment Total Amount Card Type Card Number Exp. Date CCV code I would like to attend GREAT DEBATES IN JEWISH HISTORY at the above selected location. I would like to make a donation to JLI of for others to attend. Additional Info: How did you hear about JLI? Please use this space to share with us any comments CLICK SUBMIT BELOW, AT BOTTOM OF PAGE We look forward to see you at the course! If you have any questions call us at 011-440-6600 or email [email protected] This page uses 128 bit SSL encryption to keep your data secure.
