Registration; The Dilemma

REGISTRATION Please fill out the form and click submit below. See dates and locations below.

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I would like to attend The Dilemma with Rabbi Ari Kievman:

6 Wednesdays 9:45am-11:15am
22 Feb. through 29 March 2017
Chabad House
27 Aintree Ave, Savoy

6 Wednesdays 7:15pm-8:45pm
22 Feb. through 29 March 2017
Kirsh Goodness & Kindness Centre
8 Stella Street, Sandton


Course Cost:
R499 full course or R99 per class
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
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# 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 HOW SUCCESS THINKS at the above selected location.
I would like to make a donation to JLI of for others to attend.