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OF DENVER COLORADO

ב"ה

Denver Teens take action for Israel

Please click this google doc and fill out which items you can bring to be packed. If you would like to make a contribution instead, please click here and put this project in the memo.
Your Teens Info
Teens Full Name*

First Name Last Name
Your E-mail*
Birth Date*

Month Day Year
School Attending*
Current grade in school*

9th grade10th grade11th grade12th grade
Is teens father Jewish?

YesNo
Is teens Mother Jewish?

YesNo
Yes! I'd love to help support this & more programs and community for teens with a sponsorship of my choice!

$54$108$180$360$540$1000$1800$3600$5400$10000
Total

$0.00

Payment & billing details

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

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