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Women 2nd Chance Chasidish Boro Park April 30th 11:AM - 3:PM Registration

Email:
אימעיל אדרעס*
First Name:
נאמען*
Last Name:
משפחה נאמען*
Home Phone:
היים נומער
Cell Phone:
סעלפאן נומער
Work Phone:
Do you need transportation to and from the event?
Where do you need transportation from?
Colony:
מוֹשָׁבָה
Address:
כתובת
Can you provide transportation for others? If yes, how many?
Where to can you provide transportation for others?
What type of Shidduchim do you redt? (You can indicate multiple selections.)
Any comments, ideas or suggestions?
I am Shadchen:
Please check that you are not a robot *
ביטע דרוקט אין דעם באקסל צו באשטעטיגן אז דאס איז א ריכטיגער סיינער איך בין א מענטש!
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