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Baruch HaShem






 
Baruch HaShem

TLC (Tender Loving Care) Questionnaire

If you are a member of Baruch HaShem and would like to be a part of this ministry, please fill out the following form, and submit. Alternatively, you may pick up a paper copy at Baruch HaShem, fill it out and place it in the Tzedaka Box.

Your Name: [required]
Last name:

First name:


Your Email Address: [optional, but useful] Note: Make sure your e-mail address is correct.


Your Postal Street or Box Address: [optional]

2nd Line of Postal Street or Box Address: [optional]

Your City or Town, State or Province, and postal/zip code: [optional]


Home Telephone: [optional, but useful]

Cell Telephone: [optional, but useful]



Comments, questions and/or additional contact information: [optional]


Return to our TLC Ministry page.

Blessed is He who comes in the name of the L-rd

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