Rabbi’s Form – Mizrachi UK

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Form for Rabbinic Mission

Name*

First name Last name

Email*

Phone*

Address*

Street Address City County / State / Region ZIP / Postal Code

Community

Do you have your own accommodation?*

Yes

No

We require a £50 deposit to secure your place*

£50 Deposit

This will be refunded the week before we fly

Total

Credit Card*

Card Details

Cardholder Name

We would love to stay in touch with you and let you know about our vital services, our education work, events and fundraising. Your privacy is important to us, and we need your consent in order to communicate with you. Please select all the ways we can contact you.

Email

Phone

By providing this information I confirm that I am consenting to Mizrachi holding and processing my personal data to keep me informed about Mizrachi's services, courses, events and fundraising. Where you do not grant consent we will not be able to use your personal data; (so for example we may not be able to let you know about forthcoming services and events); except in certain limited situations, such as where required to do so by law or to protect members of the public from serious harm. You can find out more about how we use your data and how to withdraw your consent from our Privacy Notice.

Email

This field is for validation purposes and should be left unchanged.

Form for Rabbinic Mission

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