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Memo
Notes to internal Federation professionals
In which upcoming mission(s) are you interested?
Mission to Cuba • December 4-8, 2024
March of the Living (Poland) • April 21-28, 2025
Name
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First Name
Last Name
Email
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Confirmation Email
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Mobile Phone Number
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Mailing Address
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Street Address
Street Address Line 2
City
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Postal / Zip Code
Date of Birth
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Month
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Day
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What are your interests? (Check all that apply)
Young adult programs (30's and 40's)
Women's programming
Teen programs
Services and support for seniors
Advocacy and combatting antisemitism
Professional networking
Jewish learning
Israel and overseas engagement and advocacy
Holocaust education
Kids and family programs and resources
Disability services and support
Community service and volunteering
Jewish summer camp
Security updates
SUBMIT
Gift Amount
Ticket Amount to charge
Gift Amount to charge
Subtotal Amount to charge
Gift Amount to send check
Total Amount to send check
Total Amount for bill
Appeal code
Cc fee
TOTAL = Subtotal Amount to charge + fee
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