Tisha B’av Coordinator Form – Chofetz Chaim Heritage Foundation

- Location Type*
- Showing Country*
Showing Location Name*
Name*
Prefix First Last
- Phone*
- Email*
Shipping Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Address Same
- Event Address is the Same as Shipping Address
Event Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Hidden
ffly_value

Audience*
Select one or both audience types
Adults
Children
Number of Adult Attendees
Please provide an approximation of the expected number of attendees.
Magazine Quantity*
Is your bungalow joining the learning program?
Yes
Learning Program Materials Quantity*
Showing Times and Details
If you know the time of your showing(s), please provide. If not, we will contact you closer to the event for this information.

Would you like a custom poster with the times and details of your showing?
Yes
Closed Caption for Hearing Impaired
*Closed caption video will be sent out a few days before Tisha B'av
Yes
Notes/Comments
Please provide any additional information or details.

Confirmation*
I have reviewed my submission and confirm that the information is correct.
Total Charged the Week of Tisha B'av
$0.00
hidden amount*
Price: $0.00
Hidden
Flat Fee last year

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Questions? Call 845-352-3505 ext. 303

Questions? Call 845-352-3505 ext. 303

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