Synagogue Match: Connecting Jews Who Move

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Please complete this form, which will enable Reform congregations to extend a welcome to you or another person who is moving.
* Required information
I am making this request for:

Myself A Relative A Friend
A Congregant (Select the Congregant's Synagogue from the list below)

Person 1:

*First Name:
*Last Name:

      Age range: 22-30    31-40    41-50    51-64    65 and over

Person 2:

First Name:
Last Name:

      Age range: 22-30    31-40    41-50    51-64    65 and over

*New Address:    Apt#:

              *City: *State/Province: *Zip/Postal Code:

*Approximate date of move:

Email:

New Home Phone:
New Business Phone:

Household:

Individual:    Couple:
With Preschool children:    With School-aged children:    With Teens

Indicate below any special interests and/or needs that will make it easier for the matched synagogues to extend a welcome.

If the move will not take place for a while, please send information to:

       Address:   Apt#:

              City: State/Province:
Postal Code:

Home Phone:
Business Phone:

A Reform Movement project developed by the Commission on Outreach and Synagogue Community of
the Union for Reform Judaism and the
Central Conference of American Rabbis

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