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*

    Address*

    Phone Number*

    Congregation or Institution

    If congregation, describe seating arrangement

    Address

    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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