Registration Form

Names Recovery Campaign

Registration Form

Please fill out the details of the person coordinating the Names Recovery Campaign and return to Yad Vashem via fax: 972-2-644-3409

First Name:______________________________________________________________

Last Name:______________________________________________________________

Title:____________________________________

Name of Organization:______________________

Mailing address:___________________________

Website:_________________________________

Phone:___________________________________

Fax:_____________________________________

Email:____________________________________

How did you learn about the Names Recovery Campaign?

__________________________________________________________

__________________________________________________________

__________________________________________________________

When do you plan to begin your Names Recovery Campaign?

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