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Here to help you
Aliyah
AACI Counselor Yanina Musnikow
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Aliyah
Welcome to Netanya!
AACI Counselor Yanina Musnikow
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*
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Mrs.
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Dr.
Prof.
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Last
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*
Male
Female
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*
Email
*
Teudat Zehut # or Passport #
*
If Passport, Issuing Country
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*
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General Information
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Are you interested in volunteering?
Please tick what interests you
Office Administration
Computer
Making phone calls
Library
Once per week in box office, etc.
Coffee shop
Advertising department
Programming
Music/Drama Groups
Give lecture on topic of your expertise
Other
Other Volunteering Details
Emergency Contacts
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Last
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Phone
Email
Agreement
Please tick and sign both boxes below
*
Please register me/us as member of Beit Oleh America and Canada in Netanya (#58-000-828-2)
Please register me as member of AACI (#58-00-1954-5)
Signature
Payment Options
Membership options
Single Annual – NIS 150
Family Annual - NIS 250
Single 5 Years – NIS 500
Family 5 Years – NIS 900
Special Rates for New Olim – Single - NIS 150 for 2 years
Special Rates for New Olim – Family - NIS 250 for 2 years
Single Renewal Annual NIS 150
Family Renewal Annual - NIS 250
Single Renewal 5 Years - NIS 500
Family Renewal 5 Years - NIS 900
If you live overseas, would you like to receive our monthly Newsletter?
Yes Please
No Thank You
(At $45 per annum to cover postal costs)
I would like to receive updates by email
Total
₪ 0.00
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Pay by Paypal
Submit and Pay Later
Personal Information
Title
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rabbi
Prefix
First
Last
Gender
*
Male
Female
Phone - Mobile
*
Email
*
Teudat Zehut # or Passport #
*
If Passport, Issuing Country
Date of birth:
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2024
2023
2022
2021
2020
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2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Title
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rabbi
Prefix
First
Last
Gender
*
Male
Female
Phone - Mobile
*
Email
*
Teudat Zehut # or Passport #
*
If Passport, Issuing Country
Date of birth:
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Home Address
*
Phone - Landline
*
Employment Information
Occupation
Retired
Yes
No
Occupation
Retired
Yes
No
Workplace
Work Phone
Work Fax
Work Email
General Information
Marital status:
Single
Married
Divorced
Widower
Place of birth: (country)
Year of arrival in Israel:
Year of Aliyah
Visa Status
Religious affiliation
Orthodox
Conservative
Reform
Unaffiliated
Other
Family Members
Name
Relationship to you
Date of Birth
Are you interested in volunteering?
Please tick what interests you
Office Administration
Computer
Making phone calls
Library
Once per week in box office, etc.
Coffee shop
Advertising department
Programming
Music/Drama Groups
Give lecture on topic of your expertise
Other
Other Volunteering Details
Emergency Contacts
Name
First
Last
Address
Phone
Email
Agreement
Please tick and sign both boxes below
*
Please register me/us as member of Beit Oleh America and Canada in Netanya (#58-000-828-2)
Please register me as member of AACI (#58-00-1954-5)
Signature
Payment Options
Membership options
Single Annual – NIS 150
Family Annual - NIS 250
Single 5 Years – NIS 500
Family 5 Years – NIS 900
Special Rates for New Olim – Single - NIS 150 for 2 years
Special Rates for New Olim – Family - NIS 250 for 2 years
Single Renewal Annual NIS 150
Family Renewal Annual - NIS 250
Single Renewal 5 Years - NIS 500
Family Renewal 5 Years - NIS 900
If you live overseas, would you like to receive our monthly Newsletter?
Yes Please
No Thank You
(At $45 per annum to cover postal costs)
I would like to receive updates by email
Total
₪ 0.00
How would you like to pay?
*
Pay by Paypal
Submit and Pay Later
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