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New Mispalel

New Mispalel Form

Dear New Mispalel,

Welcome to the Mercaz Torah & Tefillah community. Please complete this form:

* Family Name

Spouse Last Name (if different)

* Home Phone

* Address 1

Address 2

* City

* State

* Zip

* Family tribe

Please Select OneKohenLeviYisrael

* Title

* Spouse Title

* First name

* Spouse first name

* Hebrew name (no parent name)

* Spouse Hebrew name (no parent name)

* Father's Hebrew name

* Spouse father's Hebrew name

* Mother's Hebrew name

* Spouse mother's Hebrew name

* Email

Spouse email

Cell

Spouse Cell

Birth date

Children?

YesNo

Children (English and Hebrew names; English date of birth). Start each on a blank line.

Observe Yahrzeit(s)?

NoYes

Yahrzeits [Full English name of deceased; full Hebrew name of deceased; English date of passing; Hebrew date of passing; Name of person observing; Relationship to observer]. Start each on a blank line.

Abilities, Volunteer, and Other information (Enter any special abilities or tasks you would like to volunteer for)

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