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Be In The Know
Name
*
First Name
Last Name
Pronouns
*
She/Her/Hers
He/Him/His
They/Them/Theirs
Other
If you selected "Other" above, please specify your preferred pronouns.
Mobile Number
*
NUMBERS ONLY (e.g 4152345555)
Email
*
Address (in case we want to send you fun goodies)
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
School (i.e. USF, UC Hastings, UCSF, SFSU, etc.)
*
Class Year
*
(e.g 2020)
Today I spoke with:
*
Are you eligible for Birthright?
*
Are you eligible for the best 10 days of your life? Please ask if you are unsure what Birthright eligibility is!
select one
Yes!
Alumni
Not Eligible - But I want to get back to Israel
Not Eligible
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