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613 Masks Distribution
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First Name:
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Last Name:
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Email:
Cell #
Are you an Or Ami Congregant?
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Yes
No
Number of masks requested:
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3
5
10
Who are they for?
Other Comments:
I will be able to pick up or arrange for the pick up of the masks:
Please Choose One:
Yes
No
Mon, December 23 2024
22 Kislev 5785
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Mon, December 23 2024 22 Kislev 5785
