WSPU Hachnuses Seifer Torah Application

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Your Full Name *

First and last name

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Home Address *

Address

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City, State, Zip *

Address

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Phone number *

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Email *

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Date going out.

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Time.

NYPD permit will be assigned at this timing. please make sure that your are scheduling accordingly.

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Address Going Out From
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Name Of Shul
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Shul address.
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Notes, Specification:

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This form was created inside of Williamsburg Safety Patrol.