Oz Vehadar Levusha
Home Study Program for Women
Modesty
"An Adornment for Life"

 

 

Coordinator’s Name:

Address:

City/State/Zip:

Phone#:

E-Mail:

PARTICIPANT LIST

Name Address Tel./Fax # E-mail # of Breaks Coupons*
1.  

E E E O

Excused Out
2. E E E O

Excused Out
3. E E E O

Excused Out
4. E E E O

Excused Out
5. E E E O

Excused Out
6. E E E O

Excused Out
7. E E E O

Excused Out
8. E E E O

Excused Out

*Put a check Ö for an earned coupon and put an X through the check when it is used in a raffle.

Please check your calendar and e-mail your raffle results to: ozvehadar@juno.com. Please refer to your participants by number and amount of coupons accumulated (for eg. #1 has 2 coupons, #2 has 1 coupon….)

 

PASSAIC TORAH INSTITUTE’S HOME STUDY PROGRAM FOR WOMEN

41 Park Avenue, Passaic, NJ 07055

Tel/Fax# 973-472-8324

ozvehadar@juno.com

 

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