SECURE RESERVATION FORM

JLI Adult Education Course - SPRING 2019
With All My Heart

Six consecutive weeks 

Location: Chabad Zichron Kedoshim - 5215 Westbury, Montreal QC H3W 2W4

Cost: $100 per person or $160 bring a friend/couple discount.
Please submit the following:

Option 1 -I am attending Wednesdays at 7:30 pm beginning Wednesday, May 15 with Rabbi Ronnie Fine

Option 2 -I am attending Thursdays at 12:00 pm beginning Thursday, May 16 with Rabbi Ronnie Fine

Option 3 - I am attending Sundays at 7:30 pm beginning Sunday, May 19 with 
R' Pesach Nussbaum  

 

  Name
Man
Woman
Phone Number
1.
2.
3.
4.
5.

Comments:

Student Information
Title Province    
First Name Postal Code
Last Name Country
Address Phone
City Email Address
Payment Information:  
Card Type  
Card Number  
Expiration Date    
CVV Security Code  
Yes, I want to stay involved by receiving the Weekly eNewsletter. *We will not share your email information with outside parties

Please click submit only once.
Please wait a few seconds for acknowledgement online that your information was received.