Registration
Form
for mailing
Please complete the form below, print off and sign it, and return to:
 KLC, Finchley Synagogue, Kinloss Gardens, London N3 3DU

STEP 1 - Which course do you wish to attend?

 
Course Code
 Course Title
Session A Course
8.00 – 8.55pm

Please note: if you wish to change courses mid-term, you may do so with pleasure. We require this information now to enable us to allocate suitably sized halls for each lecture.

STEP 2 - Please give us your details

Title
First name
Surname
Address Line 1
Address Line 2
Address Line 3
Town
County
Postcode
Email
Telephone

STEP 3 - Please supply the names of any other people you are booking for

Title First name Surname Course Code

STEP 4 - Please indicate how many people you are booking for

participants at £50 for the term for each person: a total of
£
participants at £40 for the term for each Finchley Synagogue member: a total of
£
or pay £12 on the night for each of the fiveweeks of term  
Ulpan year (Synagogue member £180, non-member £210) £
Ulpan term (Synagogue member £60, non-member £70) £

STEP 5 - Please enclose payment

 Cheque enclosed (payable to Finchley Synagogue)
Credit Card
Access
Visa
Mastercard
Card Number
(no spaces)
Security number
Expiry Date
Signature
Date
PRIVACY POLICY: We shall use your contact details to send you details of future KLC plans and publications (unless you opt not to be sent such messages by ticking here or by telling our office if you register on our website or by phone). We shall not share your personal details with any third party.