Great Hebrew Awakening - New Mishpacha Form

First Name*

Last Name*

Street Address*

City*

State*

Country*

Phone

Email address*

How did you hear about Great Awakening International?

Is this your first Feast Day Event with GAI?*

YesNo

Which Assembly with GAI do you fellowship with on Shabbat? (If Applicable)*

Which GAI Worship Hub do you fellowship with? (If Applicable)*

Would you like to connect with an Assembly or Worship Hub?*

YesNo

If so, which Assembly or Hub? (If Applicable)*

Do you have a preferred Assembly/Hub?*

YesNo