What Hebrew language experience do you have?

Why are you studying Hebrew?

Rabbi Jana's Hebrew Class Registration and

Payment Information Form

PLEASE COMPLETE THIS FORM AND CLICK "SUBMIT" AT THE BOTTOM OF THE PAGE.

PAYMENT IS DUE BY THE FIRST DAY OF CLASS:

First Name:

Address 1:

Home Phone:

E-mail:

Work Phone:

Last Name:

Address 2:

City:

State:

ZIP:

Hebrew Name:

(if known)

Occupation:

What other languages have you learned / studied?

Other (please specify):

Congregational Affiliation:

Other:

Where you heard about the courses:

Payment Information

Hebrew Course Selection and Fees

Preferred Payment Plan (fill-in amount per payment of the plan you choose):

$10 Materials only for Members of B'nai Zion

$18 Tuition and Materials

Registration can be done with this form or at first class.

Payment should be made by first class.  Make check payable to B'nai Zion.

Other (please specify):

No Tuition for Members of B'nai Zion. 

B'nai Zion

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Congregation Announcement

Hebrew From Day One: Sunday 9:45 - 10:45 AM

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