Update Contact Information

We often discover that our files contain members’ obsolete contact information.

In order that we may double-check our records and properly keep in touch, please fill in the following form even if you currently receive communications from our office.

Please submit one form per household.

Thank you!

Adult 1: Name(Required)

First Middle Last

Adult 2: Name

First Middle Last

If applicable

Adult 1: Cellphone

Adult 2: Cellphone

Land Line

Adult 1: Email(Required)

Adult 2: Email

ICCJ membership?(Required)

Of course!

No, not yet.

Wouldn't it be a great time to join, then?(Required)

Home Address(Required)

Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Snowbirds: Alternative Address

Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Snowbirds: Dates at Alternative Address

Adult 1: Hebrew names

Your names Father's names Mother's names Kohen/Levi/Yisrael

Please include your middle names as well - the way you get called to the Torah. If unsure, leave blank.

Adult 2: Hebrew names

Your names Father's names Mother's names Kohen/Levi/Yisrael

Please include your middle names as well - the way you get called to the Torah. If unsure, leave blank.

Children

Given Name(s)

Last Name

Hebrew Name(s)

Date of birth (M/D/Y)

Born before/after sunset?

 

Add Remove

One line per child. Use the '+' button at the right to add more lines.

Grandchildren

Given Name(s)

Last Name

Hebrew Name(s)

Date of birth (M/D/Y)

Born before/after sunset?

 

Add Remove

One line per child. Use the '+' button at the right to add more lines.

Great-Grandchildren

Given Name(s)

Last Name

Hebrew Name(s)

Date of birth (M/D/Y)

Born before/after sunset?

 

Add Remove

One line per child. Use the '+' button at the right to add more lines.

Optional additional information

Adult 1: Date of birth

MM slash DD slash YYYY

Adult 2: Date of birth

MM slash DD slash YYYY

Anniversary Date

MM slash DD slash YYYY

Yahrzeits observed

Full Legal Name

Full Hebrew Name

Relation & whose?

Date of Death (M/D/Y)

Before/after sunset

Hebrew Date (if known)

 

Add Remove

Hebrew name should include "ben" or "bat", and the deceased's father's and mother's Hebrew names.

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The fun section

• The rest of this form is just for fun, so we can get to know you a bit better!
• Feel free to complete as much or as little as you wish.
• If you're in a rush, click here to skip to the end and just click 'submit.'

Adult 1: list hobbies

Adult 2: list hobbies

Current pets you have

Adult 1: favorite color

Adult 2: favorite color

Adult 1: favorite animal

Adult 2: favorite animal

Adult 1: favorite season

Adult 2: favorite season

Adult 1:

Right handed

Left handed

Ambidextrous

Adult 2:

Right handed

Left handed

Ambidextrous

Adult 1:

Morning person

Night owl

Adult 2:

Morning person

Night owl

Adult 1: fears and phobias

Adult 2: fears and phobias

Adult 1: favorite author

Adult 2: favorite author

Adult 1: favorite Jewish author

Adult 2: favorite Jewish author

Adult 1: favorite song

Adult 2: favorite song

Adult 1: favorite Jewish singer

Adult 2: favorite Jewish singer

Adult 1: favorite Jewish comedian

Adult 2: favorite Jewish comedian

Adult 1: favorite film

Adult 2: favorite film

Adult 1: favorite television series

Adult 2: favorite television series

Adult 1: favorite Jewish actor

Adult 2: favorite Jewish actor

Adult 1: favorite sport, and team

Adult 2: favorite sport, and team

Adult 1: favorite Jewish athlete

Adult 2: favorite Jewish athlete

Adult 1: favorite prayer

Adult 2: favorite prayer

Adult 1: favorite Bible story

Adult 2: favorite Bible story

Adult 1: favorite Jewish holiday

Adult 2: favorite Jewish holiday

Adult 1: favorite dessert

Adult 2: favorite dessert

Adult 1: favorite Kosher wine

Adult 2: favorite Kosher wine

Adult 1: favorite schnaps / liqueur

Adult 2: favorite schnaps / liqueur

Adult 1:

Coffee

Tea

Adult 2:

Coffee

Tea

Adult 1: favorite hamentashen flavor

Adult 2: favorite hamentashen flavor

Adult 1: favorite Passover food

Adult 2: favorite Passover food

Adult 1: Preferred kneidlach (matza balls)

Hard as a rock

Soft and fluffy

Adult 2: Preferred kneidlach (matza balls)

Hard as a rock

Soft and fluffy

Adult 1: favorite place in Israel

Adult 2: favorite place in Israel

Adult 1: favorite (non-Israeli) vacation destination

Adult 2: favorite (non-Israeli) vacation destination

What Is the Airspeed Velocity of an Unladen Swallow?

Any other pertinent information that our office should know about you

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