Ezra USA
Ezra USA: Free Trip To Israel - Winter 2013-14
Are You Jewish?
Are You 18-26 Year Old?
Are You Ready For 10 Day Trip To Israel?
Do You Want To Go For Free?
If You've Said YES, Keep On Reading!
Taglit-Birthright Israel:Ezra provides a gift of first time, peer group, educational 10 day trips to Israel for Jewish young adults ages 18 to 26 (including).
During the winter 2013-14 season, we will have multiple groups departing in November, December, January and February.
Registration usually lasts only a week and is on first come, first serve basis.
By submitting this form you'll have an advantage of knowing about the registration BEFORE it officially starts and therefore are increasing your priority.
Name
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First
Last
Phone number
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Email
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Date of birth
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DD
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Your City and State?
When would you prefer to go to Israel?
November 2013
December 2013
January 2014
February 2014
Any winter month
Summer 2014
Are you Jewish?
Yes
No
Not sure
Have you ever been to Israel on an organized tour?
Yes
No
Not sure
Have you ever studied in Israel?
Yes
No
Not sure
Have you lived in Israel after turning 12 yrs?
Yes
No
Not sure
Referral code (PLEASE DO NOT MAKE ANY CHANGES TO THIS FIELD)
Do Not Fill This Out