Purim Gift - Form - Congregation Or Ami

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Purim Gift

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Thank you for celebrating with us. We hope your experience was fun and meaningful. Please fill out these questions so we can send you a special gift.

* Your First Name:

* Your Last Name:

* Email:

* Cell #:

Click to add info for Second Adult in Family:

2nd Adult First Name:

2nd Adult Last Name:

2nd Adult Email:

2nd Adult Cell #:

Any kids? If so, let us know their names/ages:

* Mailing Address:

Ste/Unit #:

* City:

* State:

* Zip:

How did you hear about Or Ami?

Attended Past EventsFormer MemberFrom FriendsFrom Facebook or InstagramOnline Search

I am interested in learning more about:

Upcoming Services and ProgramsReligious SchoolYouth GroupsYoung Family & Tot Shabbat EventsThe Village (ages 55 and better)Becoming a Congregant

Anything else you want us to know?

Fri, April 19 2024
11 Nisan 5784

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Fri, April 19 2024 11 Nisan 5784

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