RSVP Adult Education Zoom Class - Legend of the Jews

Date

Individual making the reservation*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com

IMPORTANT INFORMATION

Five Zoom Classes Held Tuesdays, 2/18/25 - 3/18/25 @ 7:00pm

Only two classes remaining. Registration for both is only $10.00 for members and $12 for non-members.

Are you a member of TBE?*

YesNo

How will you be paying?*

CheckCredit Card

Amount to be paid

Thank you for registering for our Adult Education Program. Please pay the amount of ${amountTo}.00 ASAP and write "Adult Ed. - Legend of the Jews" in the memo part of the check.

Mail your check to:

Temple Beth El

5150 Peridia Blvd. East

Bradenton, FL 34203

A ZOOM LINK FOR THE CLASS WILL BE EMAILED TO {email} IMMEDIATELY AFTER YOU SUBMIT THIS FORM.

Display amount

Please consider paying an additional $3.00 to cover the bank fees incurred when using a credit card

Yes, I will be happy to pay an additional $3.00 to cover the bank feesNo thank you, charge my credit card the original amount

Amount being charged to Credit Card

USDAdult Education

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

accountiing

ZOOM LINK FOR THE CLASS WILL BE EMAILED TO {email} IMMEDIATELY AFTER YOU SUBMIT THIS FORM.

RSVP Adult Education Zoom Class - The Legend of the Jews

IMPORTANT INFORMATION