Birthright Israel - Recommend someone for the Virginia Tech Trip - YETI, Set, Go {To Israel}
Hello! Thanks for wanting to recommend someone for the trip. Please fill out this questionnaire and we will contact them shortly thereafter. Our winter trip is from December 30 - January 10 roundtrip from D.C. Remember, you receive 5 raffle tickets for every person you recommend and 10 raffle tickets for every person who actually signs up for the trip after this form has been submitted.
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Email *
Your First Name *
Your Last Name *
I consider myself to be: *
Referral's First Name *
Referral's Last Name *
Referral's Cell Phone (XXX-XXX-XXXX) *
Referral's Email
Does the referral have at least one Jewish parent? *
Does the referral attend Virginia Tech? *
Individuals from other schools can participate in the VT Birthright Israel trip.
What year is the referral in school?
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