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<form class="userform-form" action="" method="post" name="form_5267697" id="5267697" accept-charset="utf-8"><input type="hidden" name="formID" value="5267697" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_12"><div id="cid_12" class="form-input-wide"> <div id="text_12" class="form-html"><p><strong>Scroll down to RSVP.</strong></p></div> </div></li><li class="form-line" id="id_1"><div id="cid_1" class="form-input-wide"> <div style="text-align:center;"><img alt="" class="form-image" border="0" src="https://w2.chabad.org/media/images/1383/Vfhs13831715.jpg" height="283" width="745" /></div> </div></li><li class="form-line" id="id_14"><div id="cid_14" class="form-input-wide"> <div id="text_14" class="form-html"><p><strong>Course Overview</strong></p>

<p><span style="font-size:16px;"><strong>Reincarnation, soulmates, dreams, names: what these and other mysteries reveal about the hidden design of your life.</strong></span></p>

<p>Join this six-week course on concepts from kabbalah and how they come together to answer some of life’s biggest questions. Discover the mystical backstory that explains the mysteries you never understood about yourself, from your taste in music to your dreams, recurring challenges, soulmate, and life’s mission.</p>

<p style="text-align: center;">Date &amp; Time: 6<b> Wednesdays, Beginning October 28 @ 11:00 AM in-person and via zoom.</b></p>

<p style="text-align: center;">Cost: <span style="color: rgb(0, 0, 0);">(textbook included)  $105/person - $189/Couple</span></p>
</div> </div></li><li class="form-line" id="id_4"><div class="form-label-left" id="label_4"><label for="input_4"> Full Name </label><label class="label-message" for="input_4"> </label></div><div id="cid_4" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q4_fullName[first]" id="first_4" autocomplete="given-name" />  <label class="form-sub-label" for="first_4" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q4_fullName[last]" id="last_4" autocomplete="family-name" />  <label class="form-sub-label" for="last_4" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_5"><div class="form-label-left" id="label_5"><label for="input_5"> E-mail </label><label class="label-message" for="input_5"> </label></div><div id="cid_5" class="form-input"> <input type="email" class=" form-textbox validate[Email]" id="input_5" name="q5_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_15"><div class="form-label-left" id="label_15"><label for="input_15"> I would like to sign up for The Kabbalah and the Hidden Architecture of You </label><label class="label-message" for="input_15"> </label></div><div id="cid_15" class="form-input"> <span class="form-sub-label-container"><select class="form-dropdown" style="width:150px" id="input_15" name="q15_input15"><option value=""></option><option value="Individual $105">Individual $105</option><option value="Couple $189">Couple $189</option></select>  <label class="form-sub-label" for="input_15">(textbook included)</label></span> </div></li><li class="form-line" id="id_17"><div class="form-label-left" id="label_17"><label for="input_17"> Optional: I would like to make a donation to the scholarship fund </label><label class="label-message" for="input_17"> </label></div><div id="cid_17" class="form-input"> <div class="form-multiple-column" data-columns="3"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_17_0" name="q17_input17" value="54" /><label for="input_17_0"><span>$54</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_17_1" name="q17_input17" value="108" /><label for="input_17_1"><span>$108</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_17_2" name="q17_input17" value="180" /><label for="input_17_2"><span>$180</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_17_3" name="q17_input17" value="360" /><label for="input_17_3"><span>$360</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio-other form-radio" name="q17_input17" id="other_17" value="" /><span><input type="number" min="1" class="form-radio-other-input form-textbox" onkeypress="validateNumber(event)" name="q17_input17[other]" data-otherhint="Other" size="15" id="input_17" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_16"><div class="form-label-left" id="label_16"><label for="input_16"> Total </label></div><div id="cid_16" class="form-input"> <div id="total_amount">$95.00 </div> </div></li><li class="form-line" id="id_9"><div class="form-label-left" id="label_9"><label for="input_9"> Payment </label><label class="label-message" for="input_9"> </label></div><div id="cid_9" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_9_creditCard" 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