Jewish Singles, Meet!
Survey
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We’d like to welcome you to Jewish Singles, Meet!
Would you take a couple minutes to fill out this survey for us?

Name:_________________________________________________________________

ADDRESS:  ___________________________________________________________

Phone:   ______________________________________________________________

E-Mail:  _______________________________________________________________
 

How did you here about Jewish Singles, Meet!

o Jewish JournaL:  ______  Other:  (Explain)_______
o Website: _____________   o Postcard: ___________

What are your favorite things to do:
 list at least 3 ideas/suggestions:
1)  ____________________________________________
2)  ____________________________________________
3)  ____________________________________________

Would you like to be on our mailing List:
Yes     ______  No ______
 

If so, just send us a check for $5.00(one time only fee) to:
 
    Jewish Singles, Meet!
    c/o  Temple Valley Beth Shalom
     15739 Ventura Blvd.
     Encino, CA  91316

Also, check us out at our website at http://www.bigwebs.com/jewishsingles

Thank you for your participation in this Survey!

Shalom!