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Share your wedding with our members

Our membership program enables hundreds of chassanim and kallahs to get married each year by taking a small donation from each member for each wedding.

1Family Info

2Personal Info

3Financial Info

4Wedding Info

Personal Information
Name*
First Name Last Name
Father's Name*
Mother's Name*
Phone Number*
Email Address*

Address*
Street Address City State / Province / Region ZIP / Postal Code

Employment Information
Employment*
Phone Number*
Family Information
Number of Children in Family*
Number Married*
Number Unmarried*
Unmarried Ages*

Religious Information
Shul/Affiliation*
Address*
Street Address
Rav or Askan who knows you personally*
Phone Number*

Financial Information
Was a special fund set up for the family?*
- Yes
- No
Who was in charge of it?*
Phone Number*

Alive
- Father is alive
- Mother is alive
Has there been life insurance?*
- Yes
- No
Information Name*
Phone Number*

Other Information
Wedding Date*
MM slash DD slash YYYY
Wedding Hall*
Wedding City*

How did you hear about us? (optional)
Comments

We welcome any questions or comments. Help us in enabling orphans walk down the aisle peacefully.

We welcome your questions and comments anytime.

Call. 718.480.0205
Leave a message and we'll get back to you.
Email. Help@avihem.org

Address: 1262 51 Street Brooklyn, NY 11219

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