Details regarding your upcoming program Name of community/organization* Name of contact person* Prefix Mr.Mrs.RabbiRabbi Dr.Ms.Dr. First Last Email* Phone*Program schedule details*Please send us the schedule of your program so we can send you a schedule flier. We appreciate your using only the official World Mizrachi Shlichim Program fliers for the event.Roll-up bannerIf you are interested in displaying a roll-up banner for a month before the event, we are happy to send you a complimentary one. If you would like one, please check the box below: Yes, please send us a roll-up Would you like it to be a Save the Date roll-up or with the schedule (entered above)?* Save The Date Schedule Who should we mail the roll-up to?* Me What address should we mail the roll-up to?* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Comments about shipping the roll-up:i.e. if there are any times it shouldn't be delivered, is it to a private homeWhat other text or information would you like to appear on the roll-up banner?Please upload any logos you want to appear on the roll-up bannerIn high-resolution Drop files here or Select files Accepted file types: pdf, jpg, png, Max. file size: 50 MB. How will you make the Honorarium payment?*We ask that you pay the honorarium within a month after the event. While the honorarium may be paid by bank transfer or by check deposit, our strong preference is by bank transfer (wire). Bank TransferCheck DepositWho should the invoice be made out to?*What email should we send the invoice to?*
Details regarding your upcoming program