Office Phone: (718) 520-9060
Fax: (718) 520-9063
Email: info@queensvaad.org
Membership Form

Membership Form

Please click here to download PDF file

* Required fields

Name*

Addresss*

Phone Number*

Congregation or Institution

If congregation, describe seating arrangement

Addresss

Phone Number

Yeshiva from which ordained

Name of Applicant

Years
(Please send a copy of your hkymc)

National organizations to which you belong

Do you give any Hashgacha?
If yes, please give details

Please give two Rabbinic references

Name

Name

Phone

Phone

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