If you are interested in joining us for the Witness and Memorial Reunion in Bardejov, please take a moment to complete and submit the following survey or Click here to open a printer friendly Adobe Pdf to print and then fax us at (626)773-8825. Thank you!

Application to Join the Mission to Visit Bardejov in May 2012

1. My contact information:
Name:

Address:

Telephone:
Work: Home: Cell:
Fax:
Email:
* This is a required field

2. How many will be travelling in your party?:

3. Other information about me:

To submit this survey, please click here.

Bardejov Jewish Preservation Committee, 905 S. Fair Oaks Avenue, Pasadena, CA 91105, USA
Tel: (626)773-8801, Fax: (626) 773-8825, Email: info@bardejov.org