Beth Israel Congregation College Link Signup Form

Do you have a child in college?

Beth Israel sends holiday packages to college students four times a year - at Rosh Hashanah, Hannukah, Purim and Passover. Each package is filled with Kosher foods and snacks, educational materials, and holiday appropriate ritual objects for celebrating Jewish holidays away from home.

It's easy to register your college student for these holiday packages. Simply complete and return the form below by August 17, 2012. You must be a Beth Israel member to register your child.

STUDENT INFORMATION:

Name _______________________________________________________

College Attending _______________________________________________________

Phone Number _______________________________________________________

Email Address _______________________________________________________

Mailing Address _______________________________________________________

_______________________________________________________

City _______________________State_______Zip____________

PARENT INFORMATION:

Name(s) _______________________________________________________

Phone Number _______________________________________________________

Email Address _______________________________________________________

You can help support our program by sending a donation to the Miriam S. Joffe Samson Family Life Programming Fund (College Link Program). Funds are used to support our costs which run about $50 per student for the year.

$25…..Be a Honey Bee

$50…..Be a Shamash

$75…..Be a King or Queen

$100…Be a Liberator

Of course, a contribution in any amount is greatly appreciated. Amount Enclosed $___________

Return this form to:

College Link Program Committee

Beth Israel Congregation

2000 Washtenaw

Ann Arbor, MI 48104

Please note: We are unable to send packages out of the country but would be happy to send the packages to you and have you forward them on to your college student.

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