RSVP Adult Education Zoom Class

Date

Course Name

Individual making the reservation*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com

IMPORTANT INFORMATION

This class is free to members, $5.00 for guests.

Registration is required by all.

Are you a member of TBE?*

YesNo

Number of NON-MEMBERS registering?*

How will you be paying?*

CheckCredit Card

Total Due

Amount to be paid

Thank you for registering for our Adult Education Program. Please pay the amount of ${totalDue}.00 ASAP and write "Adult Ed." 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.

A Zoom link for this class will be emailed to {email} immediately after you submit this form. Thank you for registering.

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

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RSVP Adult Education Zoom Class - Jewish Thoughts on Thanksgiving

IMPORTANT INFORMATION