Online registration Reference: In the event that you were referred to Arevim by another person, please fill in the person’s details: Name: ID: Telephone: Family Details Father’s Affirmation: I affirm that I have read the Policy, and that I hereby consent to all regulations; and that I am fit to join the project. I have been healthy throughout the past 5 years and was not ill with any significant illness; and I function in a normal, healthy and independent manner.In the past five years, I was ill with the following illness: You must attach the relevant medical forms. Name: #I.D./Passport Cell phone: Mother’s Affirmation: I affirm that I have read the Policy, and that I hereby consent to all regulations; and that I am fit to join the project. I have been healthy throughout the past 5 years and was not ill with any significant illness; and I function in a normal, healthy and independent manner.In the past five years, I was ill with the following illness: **You must attach the relevant medical forms. Name: #I.D./Passport Cell phone: **All reported medical information must be accurate. Following the decision of Arevim’s Rabbanim, supplying inaccurate information is grounds for annulment of the yesomim’s rights in the event of a parent’s passing. Contact Address: Full current address: Street # City : E-mail: Phone number: Comments Prior to collection, Arevim will send an automated voice recording with all collection details to the phone numbers listed above. In the event that tragedy befalls any member family of Arevim, we commit to contribute a one-time sum of 5.7 NIS per orphan in the family. Arevim will not charge a sum exceeding 72 NIS per month from any member. In the event that the donor does not have rights regarding the project (or is not interested in the rights) and is joining the project for the same of the mitzvah, please complete the section below: Name: Address: Cell phone: E-mail I wish to contribute to Arevim for the sake of the mitzvah of tzeddakah, without any rights to the project. Payment Methods: Credit CardPhone RepresentativeDirect Deposit Attach Documents To pay by direct deposit, click to download the Direct Deposit Form Submit [recaptcha]
