AREYVUT BNAI MITZVAH ORGANIZATIONAL INTAKE FORM
		Organization Information   Please note that all fields marked with an * are required fields   * Organization Name:   * Address: * City: * State/Country: - Please Select - Alaska Alabama Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Israel Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming * Zip: Website Address: * Contact Person: Title: Phone: Fax: Email: * Description of Organization: (max. 200 words) * Bnai Mitzvah Projects or Volunteer Opportunities offered by your organization for children ages 11 - 13 (max. 400 words) Can students incorporate your organization into any of the following aspects of their Bar/Bat Mitzvah celebration? Centerpieces Invitations Party Party Favors