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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?
Please Select One
Yes
No
Number of masks requested:
Please Select One
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, June 2 2025
6 Sivan 5785
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Mon, June 2 2025 6 Sivan 5785
