JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Tefillin and Mezuzot Checking form
Please fill in the following form and someone from the BINA office will get back to you confirming your booking or to discuss with you an alternate date for you to check your items
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Phone Number
*
Your answer
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
