WTBT Membership Form 2019-2020
Email address *
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
Zip code *
Your answer
Primary phone *
Your answer
Alternate phone
Your answer
Birthday - month/day only, for birthday greetings!
Your answer
Sponsorship level *
Required
Would you like to make a donation to support URJ camps? *
Required
If you checked "Yes", please indicate your URJ camp donation amount:
Your answer
We’d love to have you participate in WTBT as little or as much as you would like! The following are some major events planned for 2019-2020. Please check off any one(s) for which you are interested in volunteering:
If you checked "Other", please provide more information or details
Your answer
May we include your contact information in the WTBT roster that is distributed to WTBT members only? *
A copy of your responses will be emailed to the address you provided.
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