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 jli@chabad.org.za with your prefered date/location.

______________________________________________________________________________________
I would like to attend Survival of a Nation with Rabbi Ari Kievman:

6 Wednesdays 9:45am-11:15am
10 May through 28 June 2017
Chabad House
27 Aintree Ave, Savoy

6 Wednesdays 7:15pm-8:45pm
!0 May through 28 June 2017
Kirsh Goodness & Kindness Centre
8 Stella Street, Sandton
 
6 Thursdays 7
:15pm-8:45pm
11 May through 29 June 2017
Chabad House
27 Aintree Ave, Savoy


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 jli@chabad.org.za - 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 jli@chabad.org.za 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 SURVIVAL OF A NATION 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 jli@chabad.org.za