Kinus Travel Fund 5785

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.Cell phone

Please enter a valid phone number.

4

Makom Hashlichus* This field is required.write the City and Country

5

Link to Chabad.org listing* This field is required.Prove you are under Mekos - you will not receive any funding without it

6

Cost of the Ticket from where you live to New York and back (in USD)* This field is required.

7

Zelle Email or Phone # for the transfer* This field is required.

8

Paypal, if you don't have Zelle* This field is required.

9

Last Kinus you attended* This field is required.Write the year

10

I understand that the kinus travel fund is ONLY for shluchim who can't afford to travel without it* This field is required.

YESNO