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Address & Info Update

Address & Info Update

Update Information for Jewish Calendar 5777 (2016-20017)

We are preparing to send you the New Jewish Calendar for 5777-2016/2017.
Please update your address below.

First Name

Last Name

Home Address

City Postal Code

Home Phone Email

I´m interested in:
Hebrew Classes Jewish Law Jewish Ethics Talmud
Hebrew School (Gr. 1-7) Cteen (Gr. 8-12)
Volunteering Seniors Programs
Other

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Comments

OPTIONAL SECTIONS

We would like to keep you informed of the Hebrew dates of significant days in your family calendar.
Please fill in the form below and we will remind you of the Hebrew dates of these events

SECTION I: YOUR INFO SECTION II: SPOUSE'S INFO

Name


First Last

Name


First Last
Hebrew Name Hebrew Name
Occupation Occupation

SECTION III: FAMILY INFO

Father's Hebrew Name Mother's Hebrew Name
Spouse: Father's Hebrew Name Spouse:Mother's Hebrew Name
Anniversary Date / /
MM / DD / YYYY format
Birth Date / /
MM / DD / YYYY format
Check One: Cohen Levi Israel
Spouse:
Birth Date
/ /
MM / DD / YYYY format
Check One: Cohen Levi Israel

Child's
Name

Birth Date

/ /
MM / DD / YYYY format

Child's
Name

Birth Date

/ /
MM / DD / YYYY format

Child's
Name

Birth Date

/ /
MM / DD / YYYY format

Child's
Name

Birth Date

/ /
MM / DD / YYYY format

Child's
Name

Birth Date

/ /
MM / DD / YYYY format

Child's
Name

Birth Date

/ /
MM / DD / YYYY format

SECTION V: YAHRZEIT INFORMATION

Name


English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship

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