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Veteran Survey
Please verify reCaptcha before submitting the form.
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First Name
*
First Name
Email Address
Phone Number
*
Branch of the Military:
Air Force
Army
Marine Corps
Navy
Army Reserve/National Guard
Air Force Reserve/Air National Guard
Navy Reserve
Marine Corps Reserve
Coast Guard Reserve
We would love to know more about your service. Please tell us a little bit about your time:
Veterans Day Shabbat
Veterans Day Shabbat
We'd love you to join us on Friday, November 11 at 6:15 p.m. for a special blessing for our veterans. Will you be able to attend?
Check the box to tell us that you'll be there.
Name for Broadcast
As part of our service, we'd love to include your name in our broadcast. Please type how you would like it to appear here, including rank and branch:
For example, Colonel Richard Littlestone z"l, U.S. Army
Sat, November 23 2024 22 Cheshvan 5785