JLI Registration

Full Name*

First Name Last Name
E-mail*
Phone Number

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Please indicate number of attendees:
Crime and Consequence beginning Feb 4
With All My Heart beginning May 8:
This CAN Happen, Beginning April 28:
Secrets of the Bible - IN-PERSON
Names of attendees*
STUDENT BOOK PICK UP / DELIVERY OPTIONS*

I will pick up my student book Please have my student book delivered to my home
I'd like to donate towards the Chabad Adult Education budget:

Sponsor someone who can't afford - $79 Sponsor a class - $150 Sponsor a course - $770 Sponsor all 18 classes- $1,800 Other - Specify below.
Other sponsorship amount:

$
I'd like to make an additional donation towards covering the Chabad Adult Education budget:

Sponsor a class - $300 Sponsor a course - $1,800 Sponsor all 18 classes- $5,400
Total

$0.00

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Notes/Comments
100% of the proceeds of this donation or payment benefit Chabad Jewish Community Center of Riverside.
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