New Kach Movement & Noar Meir Membership Form              

  
Note: None of these questions are given to anyone, but are asked in order to know our strength in any particular area of the world. We need this information so we can begin the task of building the Movement in the Diaspora.
Question with * must be answered

NKM Membership form Noar Meir (Youth Movement-for students)

     
(Note: Please make sure your email address is correctly spelled or we won't be able to contact you)

*Full name:
*E-mail:
*Age:
*Male  Female
*Name your town or borough (exm. Brooklyn)
*If you are attending a School state which:

 

           
  

 

 

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Questions that help us know how you can help the NKM out:

If you had past experience in any other Kahanist or Jewish organization?
Please state which:

Languages spoken:

How do you think you can help the New Kach Movement of New York (other experience)?

PLEASE ALLOW 48-96 HOURS FOR A RESPONSE

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