E-mail*Number of registrants:*1 - $99 - subsidized rate1 - $125 - full course fee2 - $165 - Couples subsdized rate2 - $235 Couples full course feeFull Name*First NameLast NameNumber of registrants:1 - $89.102 (couples/friend discount) - $168Joining:*In 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 CardWe accept Visa, MasterCard, American Express, DiscoverCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2023202420252026202720282029203020312032Expiration YearMailing Address: Chabad of Fremont - 4251 Peralta Blvd, Fremont, CA 94536 SubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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