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Registration
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First Name
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Your answer
Last Name
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
Where are you from?
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Single, divorced, widowed? (Choose one)
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What Hashkafa do you identify as?
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TO COMPLETE REGISTRATION
You must register on
www.yourbashert.com
after payment is submitted directly to the Hudson Valley office 845-626-1166.
Responding to this document is NOT a complete registration and will NOT reserve a spot for you
Once payment is confirmed,and this form is rec your registration is considered complete.
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