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     Home> Programs> Upcoming Trips - Participation Interest Form
 
Upcoming Trips Participation Interest Form

Our Taglit-Birthright Israel group will be travelling to both Poland and Israel:

Tentative Trip Dates


Poland & Israel (Taglit-Birthright Israel offer*)

Departure Poland Israel
June 2008 June 24
Jul 29 - Jul 8
July 2008 July 21
July 26 - Aug 5
August 2008 August 4 Aug 9 - Aug 19

* Open to U.S. residents only who are 18 (out of high school) to 26 years old who have not been on a formal Israel program (other than the March of the Living

To receive further information and express your interest in participating in one of our programs, please fill out the form below (Select the program of you would like to attend).

Personal Information
First Name
Last Name
Telephone
Fax
E-mail
Alternate E-mail
Current Address
City
State/Province
Zip/Postal Code
Country
School/
Occupation
 
Program Interest/Preference
Month
Trip Preference

High School MOL Spring 2008 (April 28 - May 11, 2008)
National Adult Program 2008 (April 28 - May 11, 2008)  
Taglit-Birthright Israel - Young Leader Program

General
Comments
& Feedback

 

 
 
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