Survey - Shabbat Zachor 2022 Participation Form

Shabbat Zachor 2022 Participation Form

Hadassah Shabbat Zachor 2022 Participation Form

Please complete the fields below for each participating organization.

Question - Required - Contact name:

Contact email address:


*	Email: Required
	Yes, I would like to receive e-mail from Hadassah, The Women's Zionist Organization of America, Inc.

Question - Required - Name of participating synagogue:

Question - Required - Synagogue city and state:

Question - Required - Hadassah unit name:

Question - Required - Hadassah unit city and state:

Question - Required - Date of event:

Month

Day

Year

Question - Required - Expected number of event attendees:

Question - Required - Describe your event:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Required - If you are completing this form after the event, please provide comment or feedback on the Shabbat Zachor materials used:

(Maximum response 255 chars, approx. 5 rows of text)

Donation Questions

donorservices@hadassah.org

(800) 928-0685

Membership Questions

membership@hadassah.org

(800) 664-5646

Israel Travel

israeltravel@hadassah.org

(800) 237-1517

40 Wall Street

New York, NY 10005

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