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 DateScheduleWho should we mail the roll-up to?*MeWhat address should we mail the roll-up to?* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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 Accepted file types: pdf, jpg, png. 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