60 Days Sign Up Form 5780
You will be added into a What's App group where you can post your progress to earn prizes.
What's App group will be kept focused and on task. Admin Only most of the time. No Spam please.
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone number *
Your answer
Order a "60 Days" book at discounted price? ($18) *
Additional Shipping costs apply if shipped.
If you're NOT in Crown Heights, what's your mailing address?
Additional Shipping costs apply for books and/or prizes.
Your answer
I will pay via: *
Your answer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.