Registration for Torah Studies

Course Information:
 
Course: Achieving Integrity: The Book of Exodus
Location: Chabad Lubavitch of Hamilton
177 Sterling Street 
Hamilton, Ontario L8S 4J7
Canada
Starting date: January 13th 2008 - 8:00 PM. Every Tuesday for 10 weeks
Fee:
$36.00 individual, $48 couple (textbook included)
(Payment by credit card below, or bring check/cash to the first class).
 
About You:
 
First Name:  *
Last Name:  *
Title:  *
Gender:  *
Phone:  *
Fax:
E-Mail:  *
Please don't add me to your email list
Address:  *
 
Province:  *
City:  *
Postal Code:  *
Please register my spouse
 
Spouse:
First Name:  *
Last Name:  *
Title:  *
Gender:  *
E-Mail:  *
 
Payment
I would like to pay by:

 Credit Card     Cash/Check

Amount:

$36 for individual

$48 for couple 

Card Type:
Card Number: *   CCV
Name as it appears on card: *