The Rebbe's Gelt - Shluchim Helping Shluchim Grant Application Form by aya20861

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									                                             The Rebbe's Gelt - Shluchim Helping Shluchim                                                 vWC
                                                       Grant Application Form




Name:

Mossad:

Address:

Phone:                               Cell:                                 E-mail:


                                                             (Note: The maximum grant is $1,000.00. Each Shliach is eligible for a maximum of
           Amount requested:--   $                           one grant each year.) The grant is intended for urgent personal financial needs.



Purpose of Grant (optional) This will help us better understand the needs of Shluchim so that we can be of more assistance in
the future: Rent/Mortgage Medical             Simcha Credit Card Payments Other:_________________




                                                                           Signature ______________________________________

                                             Please sign this form and fax it to (213) 232-3284.

           Founded by Chabad of California - Va'ad: Rabbi Yossi Baitelman, Rabbi Reuven Mintz, Rabbi Dov Wagner
   Correspondence and contributions should be sent to: 11927 Ventura Blvd. Studio City, CA 91604 or rebbegelt@gmail.com

								
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