JPSI mast2-movoho.jpg (2312 bytes)

I'd like to help out!

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* First Name:

* Last Name:

* Address:

* City:

* State/Province:


(U.S. and Canada ONLY)

* Zip/Postal Code:


(non-US residents, enter 00000)

* Country:

* Email:

* Home Phone:

* Office Phone:

* Fax Number:

* Cell Phone:

* Where did you hear about this site:

* Father's Name:

* Mother's Name:

* Hebrew Name:

* Status:

Married  Single
Divorced Widowed

* Age:

* Name of Shul you Attend:

* Location of Shul:

* Rabbi of Shul:

* Phone number of Rabbi:

I would like to:

Volunteer to visit a prison or jail near me
Volunteer to teach at a prison
Help collect Jewish books and ritual items
Be a penpal for one of our Jewish brethren
Donate tzedakah funds to help JPSI
Be a mentor for a released Jewish inmate
Other