Introduction to Judaism Graduate Trip to Israel
Exit this survey
1
. I would like to join a group of Introduction to Judaism graduates, family, and friends on a trip to Israel
I would like to join a group of Introduction to Judaism graduates, family, and friends on a trip to Israel
Yes
No
2
. I would like to go:
I would like to go:
Winter 2012
Spring 2013
Summer 2013
Fall 2013
Winter 2013
Spring 2014
Summer 2014
Fall 2014
Winter 2014
2015 or later
3
. The most that I would be willing to pay for a 10-11 day trip (excluding airfare) is _____:
The most that I would be willing to pay for a 10-11 day trip (excluding airfare) is _____:
$2000
$2500
$3000
$3500
4
. Please include your contact information below so we can let you know when we are planning the next trip. We will not use your contact information for any other reason or provide it to anyone else.
Please include your contact information below so we can let you know when we are planning the next trip. We will not use your contact information for any other reason or provide it to anyone else.
Name:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Email Address:
Phone Number:
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