*** Please fill out form and mail with payment (if needed) ***

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Beth El Lifelong Learning, 1004 Watts St., Durham, NC 27701

Please make checks payable to Beth El Synagogue. *** Financial assistance available upon request***

*50% discount Newcomers/First-timers: 1 st class; *50% Full-time Student discount: all classes

Name(s): ________________________________________

Address: _______________________________________________

Phones/Home _____________________Work: _________________________

E-mail(s): ____________________________________________________

Beth El Member or Associate Member: Yes ___ No___ Judea Reform Congregation (JRC) Member: Yes___ No___

*If you belong to one of the following groups, please check below and apply discount:

Newcomer ____ (you are new to the Triangle, NC, Community: 50% discount on first course!)

First-timer ____ (you have never taken a Beth El Hebrew course before: 50% discount on first course!)

Full time student _____ (you are a full time student in high school, college, etc.: 50% discount for all courses!!)

Prayer Book Hebrew Classes
Level 1 or 2: Beth El and JRC Members: $80; Non-Members: $96 $ _____
Level 3 or 4: Beth El Members: $96; JRC Members: $112; Non-Members: $128 $ _____
Not sure which class is right for me. Perhaps level ____ or level ____. (Please attend the orientation on September 13 – class levels will be discussed.)

Modern Hebrew Language Class
I would be interested in participating in a Hebrew class including conversation and focusing on texts and materials in Modern Hebrew Yes_____ No_____ Beth El members: $96; JRC Members: $112; Non-Members: $128 (Registration will be collected at the first class meeting.)

Chevruta Study

I will continue to participate in Chevruta study this fall. My partner is/partners are:

__________________________________________________________

I would be interested in starting Chevruta study: Yes ______ No ______

I have a partner(s) in mind Yes ______ No, please help me find a partner(s) _____

I prefer a Chapel Hill Location ______

I prefer a Durham/Beth El location ______

For those who wish to make a donation in honor of your studies

SCHOLARSHIP FUND DONATION : to help those who need assistance $ _____

*Discount subtracted (see above and check to indicate eligibility) $ _____

Total enclosed: $ _____

Would you like us to contact you about financial assistance? Yes ___ No ____