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
Who are you?*

First NameLast Name
Community*
Which do you most closely identify with?*

A member of the Grand Order of the Aleph Zadik Aleph (AZA)A member of the International Order of the B'nai B'rith Girls (BBG)A member of BBYO
What's your role in the Movement?*
What's your job/position title?
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
The Details
Who are you requesting a video from?*
Who are you requesting a video from?

Avi Gorodetski, 78th Anita M. Perlman International N'siahLevi Fox, 98th Grand Aleph GodolNaomi Kales, 78th International S'ganitJack Elice, 98th Grand Aleph S'ganEllie Bombel, 31st International Aym Ha'ChaverotJosh Rutman, 32nd Grand Aleph MorehCourtney Saxe, 78th International MazkirahAaron Perrotta, 98th Grand Aleph MazkirLeah Barash, 34th International Sh'lichaJosh Rajunov, 34th Grand Aleph ShaliachSami Cooper, 5th International GizboritAvi Cohn, 5th 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?*

MonthDayYear
Date
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