Are you registering as an individual or
representing
a
Synagogue/ Community?
As an individual
As a representative of a community
First Name
Last Name
Full name of the shul
Number of members
Name of the Rabbi
Email
Phone Number
City
Country
Do you want to be in touch with the Israeli minyan you will be partnering with?
Yes, please
No, thank you
Are you interested in
printed copies of the special Tefillah for distribution in your shul?
Yes, please
No, thank you
How many copies?
Please select...
50
100
150
200
250
300
350
400
Full Address
How did you hear about this
initiative?
Please select...
Email from an organization
Social Media
Newspaper
A Person
Please, add me to your mailing list for other relevant
materials
Contact Information