Congregation Beth Israel

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Adult

Kehilah Singles

A Look Back at Mitzvah Day 2008

Calling All College Students! :

Calling All College Students!

2007-2008 College Student Mailing Information

	Student's Name

	Date of Birth

	Home Address

	College/University

	College Address

	City - State - Zip

	College Phone

	Cell Phone

	College E-Mail Address

	Anticipated graduation date

	This address is valid:
	Fall Semester Spring Semester

	For those in the Service - Name of Service Member

	Branch of Military

	Mailing Address

	City - State - Zip

	E-Mail Address

Are you a parent/friend completing this form? Are you Interested in serving on the College Committee and doing the Mail Out Mitzvot? Please complete the items below:

	Parents'/Friends' Names:

	Address

	City - State - Zip

	Daytime Phone

	E-Mail Address