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Adult B'nei Mitzvah Interest Form
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ADULT B'NEI MITZVAH INTEREST FORM
Please complete the form below to be added to our interested list. If you have questions and would like someone to contact you, please make sure you check the "Contact Me" checkbox.
Remember so click "Submit" to complete this form.
If you would like to contact someone directly about out b'nei mitzvah program, please email Susana Rubinstein at
susana8996@sbcglobal.net
*
First Name
*
Last Name
*
Phone Number
*
Email Address
Please check all that apply below:
Please add me to the interest list.
Please contact me.
Remember to click the "Submit" button below.
Sun, October 6 2024 4 Tishrei 5785