Shabbat
Across America / Canada
Application
Form-March 12, 2004
Please fax to (646) 871-0100 or return by mail before
February 9th
Shabbat
Across America/Canada Coordinator:_______________________Title______________________
(Please ensure that mail addresses are not PO Boxes
to allow for UPS delivery)
Rabbi ____________________________ Affiliation ______________Website_________________________
President________________________________________
NJOP Code if known __________---__________
Synagogue_________________________________________E-mail:
________________________________
Address_________________________________________City/State/Zip______________________________
Coordinator's
Mail Address___________________________City/State/Zip___________________________
Synagogue
Tel ( ) ____________________
Coordinator's Daytime Tel (
) __________________
Synagogue
Fax ( )____________________
Coordinator's Daytime Fax (
) ___________________
Coordinator's
email Address___________________________
Free
Gift Offer!
If
you register by January 12th, we will send you a free
audio tape "NJOP's Model Seder: The Leader's Guide,"
featuring Rabbi Ephraim Buchwald and Cantor Sherwood Goffin.
___Yes!
I would like to receive "NJOP's Model Seder: The
Leader's Guide" as my free gift!!!
