Full Name* First Name Last Name E-mail* Number of registrants:* 1 - $99- subsidized rate1 - $125- full course fee2 - $168.30 - Couples subsdized rate2 - $215 - Couples full course fee Number of registrants: 1 - $89.10 2 (couples/friend discount) - $168 Joining:* In personOn ZoomBothI'm gonna give the first class a try.I won't be able to make it, but I'd like to sign up for the recordings. I'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 of Dedication details: Total $0.00 Payment Credit Card I am mailing a check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 Expiration Year Mailing Address: Chabad of Fremont - 4251 Peralta Blvd, Fremont, CA 94536 Submit Should be Empty: This page uses TLS encryption to keep your data secure.