Shlichim Program Details – World Mizrachi

Name of community/organization*

Name of contact person*

Prefix 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 banner

If 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 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 home

What 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 banner

In high-resolution

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 256 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).

Who should the invoice be made out to?*

What email should we send the invoice to?*

Details regarding your upcoming program

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