Mi Shebeirach

Your Name*
First Last
Dear Clergy, I would like to tell you about:*
- a friend and/or loved one who is in need of healing or strength
- something else
Click on the box or boxes that apply to you.
Please tell us the name of the person(s) who are in need of healing or strength
Please tell us what you would like us to know
I would like our clergy members to mention the names of these individuals in their congregational prayers for healing*
- No, thank you
- Yes, please
All requests for mention from the pulpit received before 12 noon on Friday will be communicated to the clergy before Shabbat.
I would like someone to contact me
- by phone
- by email
- by mail
- by video chat
Best phone number*
Best email*
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Best address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Video chat program I use

Please let us know which chat program you prefer to use: Zoom, Skype, Facetime, etc., ... as well as your email address
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Comments
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