SOULMATES COURSE REGISTRATION

 I'd like to Register for Soulmates

$50/year - includes textbook (once a month for 7 months)  ~OR~
$10/class - optional textbook purchase is $15

Personal Information:
Name   Email
Address   Phone
         
 
 
METHOD OF PAYMENT ~ Please RSVP with Payment
 I will mail in a check payable to 'Jewish Niagara' to: 12 Wood-Dale Dr, S. Catharines L2T1Y8 

 Please charge my Credit Card
Visa / MC #   Exp Date 
 
  CVV Code  3 digits on back of card