RAJE - The Russian American Jewish Experience RAJE - The Russian American Jewish Experience. RAJE is an evolving organization committed to sparking Jewish life in Russian American society. As the Russian Division of Gateways, we are passionate about building a community that embraces Russian speaking Jews from all walks of life. The core of RAJE is our Fellowship Programming.
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ISRAEL/EUROPE TRIP REGISTRATION

Questions marked with a * are required.

*1. First Name
*2. Last Name
*3. Date of birth
*4. Group
*5. PHONE
*6. EMAIL
PASSPORT
A copy of your passport must be submitted with the deposit via email to leadership@rajeusa.com or fax to (347)702-5427
*7. Passport Number
put "000" if you are not unsure of your passport number
*8. Expiration date
It is the participant's responsibility to have a passport valid through July 1 st 2012
(e.g. 4/21/2002)
*9. Passport type
Visas might be necessary for all non-US passport holders at the responsibility of the participant.
A supporting document can be obtained by contacting finances@rajeusa.com
*10. Name as listed on passport
ALL typo's are the participant's financial responsibility. Please use the name EXACTLY as it appears on your passport.
11. Amount
12. Which trip are you registering for?
*13. How would you like to pay?
14. Please list friends that might be going on the trip with you from the program
EMERGENCY CONTACT INFO in the USA when you are on trip:
*15. Name
*16. Relationship
*17. Phone
*18. Email
*19. What size T shirt are you?
*20. Preferred method of contact?
*21. We will purchase basic travelers insurance on your behalf in case of any medical emergencies. You will receive the policy number prior to departure.
All claims are to be forwarded directly to the insurance company. RAJE is not responsible for any medical expenses incurred.
I agree
*22. I hereby agree to the Leadership Program and Refund rules that were announced
at the first session of the program (available on the website) in their entirety
Initials here
*23. I hereby agree to the fact that all cancellations/changes can only be done in writing
from finances@rajeusa.com and must be kept until refund is received (where applicable)
Initials here
*24. Nationality as shown in passport

Please be advised that you have not reserved the spot on this trip until you have made a payment.

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Great Nonprofit - Jewish Choice Winner 2009
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