International Board Video Request Form

International Board Video Request Form

Request a video from a member of the International Board to celebrate, surprise, or energize your community.
Your Information

Let's start with the basics.
Who are you? *

First Name Last Name
Community *
Which order do you identify with? *

Grand Order of the Aleph Zadik Aleph (AZA) International Order of the B'nai B'rith Girls (BBG)
What's your role in the Movement? *
What's your job/position title?
Email *
example@example.com
Phone Number *

Area Code Phone Number
The Details

The good stuff.
Who are you requesting a video from? *

Maya Zucker, 76th Anita M. Perlman International N'siah Ben Cohen, 96th Grand Aleph Godol Abbie Johnson, 76th International S'ganit Jared Wilen, 96th Grand Aleph S'gan Elana Rubanenko, 29th International Aym Ha'Chaverot Chase Flagel, 30th Grand Aleph Moreh Zoe Sher, 76th International Mazkirah Berk Eraltan, 96th Grand Aleph Mazkir Kelly Fagel, 32nd International Sh'licha Daniel Pearlman, 32nd Grand Aleph Shaliach Emma Rosman, 3rd International Gizborit Jake Lazar, 3rd Grand Aleph Gizbor
Why are you requesting this video? *
Is this for a specific occasion/event/program?
What would you like the board member(s) you selected above to say in the video? *
Just general ideas/sentiments, no need for a script!
How would you like the video sent to you? *
Text message, whatsapp, email, dropbox,
When do you need this video by? *

Month Day Year
Date
Should be Empty:

Your Information