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טופס הרשמה מתנדבי לב העיר * Lev Ha'ir Volunteer Registration Form
תודה עבור ההיענות
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* Indicates required question
:שם מלא * Full name:
*
Your answer
:גיל * Age:
*
Your answer
:מספר טלפון ו\או דוא"ל * Phone number and/or e-mail:
*
Your answer
:שכונת מגורים ורחוב מגורים * Neighborhood of residence and street of residence:
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Your answer
:יש רכב * Have car:
*
כן Yes
לא No
:יש נשק * Have firearm:
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כן Yes
לא No
:יכולת לארח תושב{י} דרום * Can host resident{s} from the south:
*
כן Yes
לא No
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