Temple Beth Sholom Adult Education Registration

TBS Learning Opportunities RSVP Form

To charge your card on file, please fill out and submit form below.
Otherwise, print and mail this web page to the TBS Office (address below)

Name
Phone
Email
Address
City/State/Zip
TBS Member?	Yes
Please List Courses Consult brochure for member/non-member pricing and other details
Cost	Course Name






Total Amount to charge	$ (TBS office will calculate if blank and/or see Flyer for pricing details)
Please charge my card on file for payment: (Check box)
Comments or Questions?
	Or print and fill out below

For Printing and Mailing	Check Enclosed, Amount: $ .00 Charge my : MasterCard / Visa (Circle One)
ONLY :	Account Number
	Expiration Date / Credit cards not available to enter online - please call in or mail/fax your RSVP

Please mail this form back to us at:
Temple Beth Sholom, 2625 N. Tustin Ave., Santa Ana, CA 92705