JH Jewish Community Member Directory 2015-16

1. Annual JHJC Membership Directory for 5776

The JHJC plans to publish another Member Directory in time for Rosh Hashanah 5776. If you choose to participate - and no one is required to - use this questionnaire to submit your information. You may add as little or as much information about you and/or your family as you like. ANY QUESTION IS OPTIONAL! Note: there a TWO pages, a total of 16 very quick questions.

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* 1. First and Last Name of Adults

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* 2. Children's First and Last names

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* 3. Children's ages. Example:
Esther, 14
Isaac, 10
Lailah, 2

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* 4. Mailing Address. Enter like this example:
PO Box xxxx
(or street address)
Jackson, WY 83001

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* 5. Email Contacts

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* 6. Home phone. Enter like this (xxx) xxx-xxxx

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* 7. Mobile phone. Enter like this (xxx) xxx-xxxx

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* 1. First and Last Name of Adults

Question Title

* 2. Children's First and Last names

Question Title

* 3. Children's ages. Example: Esther, 14Isaac, 10Lailah, 2

Question Title

* 4. Mailing Address. Enter like this example:PO Box xxxx(or street address)Jackson, WY 83001

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* 5. Email Contacts

Question Title

* 6. Home phone. Enter like this (xxx) xxx-xxxx

Question Title

* 7. Mobile phone. Enter like this (xxx) xxx-xxxx

* 3. Children's ages. Example:
Esther, 14
Isaac, 10
Lailah, 2

* 4. Mailing Address. Enter like this example:
PO Box xxxx
(or street address)
Jackson, WY 83001