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All information is kept in strict confidence and not sold to third parties. Feel free to refer to our
privacy policy
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Contact Info
First Name
*
Last Name
*
Home Phone #
Cell Phone #
Email
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Gender
*
Female
Male
Which time zone are you located in?
*
IST (Israel)
EST
CST
MST
PST
England
Australia
Other
Where do you currently reside?
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USA
Canada
Israel
Other
Your Ability to Check Emails
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I check my email account AT LEAST ONCE A WEEK
I have email, but DO NOT check it frequently (less than once a week)
I do not have an email account
Get Connected
How would you like us to notify you about upcoming Chaburas?
(select all that apply)
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Add me to your Chabura email list
Contact me by phone
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I'd like to get started now - please contact me as soon as possible