Full Name*First NameLast NameE-mail*Number of registrants:1 - $992 (couples/friend discount) - $168Virtual or in personIn personOn ZoomBothI'm gonna give the first class a tryI'd like to make an additional donation towards covering the Chabad Adult Education budget:Sponsor a class - $300Sponsor a course - $1,800Sponsor all 18 classes- $5,400Other - specify below.Other sponsorship amount:$My sponsorship is:In Honor ofIn Memory ofDedication details:Total$0.00PaymentCredit Card I am mailing a check Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2022202320242025202620272028202920302031Expiration YearMailing Address: Chabad of Fremont - 4251 Peralta Blvd, Fremont, CA 94536 SubmitShould be Empty: This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.