Gateways Initiative Task Force Volunteer Form

* Name

* Address

* City, State, Zip

* Email

* Cell Phone

Home Phone

Profession

Employer

I would like to take part in the sacred work of the following task force(s):

Building & Technology: Nurturing an Accessible Sacred Space

Yes

Kesher: Extending Support and Engaging in Celebration

Yes

Nefesh: Nurturing Mind, Body and Soul

Yes

Please share with us any of your personal interests, professional skills or training that may benefit this initiative:

Please share with us any additional information, thoughts or feedback that may be helpful as we further develop this initiative:

E-mail

Enter your name and e-mail address for your confirmation

First Name

Last Name

Account

Online Fee:

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

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