NAME OF JUDAICA ITEM:
NAME OF OWNER:
ADDRESS:
CITY, STATE, ZIP:
PHONE (DAY/EVENING):
EMAIL:
BIRTHDATE:
SYNAGOGUE WITH WHICH YOU ARE AFFILIATED, CITY AND STATE:
___PLEASE CHECK HERE IF YOU ARE NOT AFFILIATED WITH A SYNAGOGUE
HOW MANY YEARS HAS THE ITEM BEEN IN YOUR (FAMILY’S) POSSESSION?
HOW OFTEN IS IT USED?
HOW DID YOU HEAR ABOUT THE CONTEST?
SUBMIT ESSAY (one or two paragraphs, up to 500 words)
HAVE YOU EVER PARTICIPATED IN ANY OF THE FOLLOWING NJOP PROGRAMS (CHECK ALL THAT APPLY):
__Read Hebrew America/Canada
__Shabbat Across America/Canada
__Crash Course in Hebrew Reading
__Crash Course in Basic Judaism
__Crash Course in Jewish History
__Shabbat Beginners Services
__High Holiday Beginners Services
PLEASE SEND ME MORE INFORMATION ON:
__Read Hebrew America/Canada
__Shabbat Across America/Canada
__Crash Course in Hebrew Reading
__Crash Course in Basic Judaism
__Crash Course in Jewish History
__Shabbat Beginners Services
__High Holiday Beginners Services
__NJOP’s Pre-holiday programs
Signature/date______________________________________
__I have read and agree to the contest rules
(Parent’s or guardian’s signature for entrants under the age of 18)
__________________________________________________
By signing this form, you acknowledge that you have read and agree to the official contest rules found at www.njop.org.
