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Programs Hadar Family Simcha Fund for NJ Shluchim

Birth Fund

Applicant Information
Full Name*
First Name Last Name
Phone Number*
E-mail*
Baby Information
Please only apply for the grant after the Bris and the child was named. Applications without a child's name will be rejected.
Child's Gender*

BoyGirl
Child's Name*
Date of Birth
English Date*

Month Day Year
Hebrew Date
Month*
Select a month
Day*
Enter the day
Year*
Enter the year
Financial Information
Name to be written on check*

Address to mail the check*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

GRANT TERMS
These gifts are made possible by the generosity of Amir and Naama Hadar. Please acknowledge their kindness by uploading a baby picture and thank-you letter within thirty days of your Simcha.
This application is subject to approval by the Vaad HaShluchim of NJ.
I acknowledge the terms of the gift*
Typing your name serves as your legal signature.
Should be Empty:

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Programs