Information Request Form - Form - Adat Chaverim

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Information Request Form

Please verify reCaptcha before submitting the form.

Thank you for your interest in Adat Chaverim!
Please complete the information below

* Name(s)

Children's Name, Age & Grade

* Do you currently belong to a synagogue?

YesNo

* When are you looking to become an Adat Chaverim member?

Please Select OneWithin 30 days1-2 months2-3 months

* Do you have Family or Friends at Adat Chaverim?

YesNo

* How did you hear about us?

* How do you wish to receive information?

Please mail me informationI prefer to be sent information electronically

* Email Address

* Best Phone Number to Call

* Street Address

* City, Zip Code

Wed, February 5 2025 7 Sh'vat 5785

6000 Custer Rd. Bldg #9, Plano TX, 75023

972-491-5917

info@adatchaverim.org

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