Ukrainian Consul General Oleksandr Shevchenko

Name*

First NameLast Name
E-mail*
Please confirm E-Mail.
example@example.com
Mobile Number (Optional)

Area CodePhone Number
Number of people attending:
How did you hear about this program:
What synagogue do you belong to?

Adath IsraelBeth EmethBeth TikvahBeth DavidShaarei ShomayimNoneOther
Will you be attending the program in person?

Yes, I will attend the program at Adath IsraelI prefer to watch the program on live-stream from homeI am not sure
Thank you for registering for The Ukrainian Consul General
Oleksandr Shevchenko Event on Wednesday, November 29, 7:00 p.m. at Adath Israel.

We look forward to seeing you.
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