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CampaignId

URJ Part

Main Account Id

Show Phone

YesNo

Show Congregation

YesNo

Event in Past

YesNo

Event Closed

YesNo

Congregation ID

Clara's new opt-in fields

Short Name for Opt-in 1 - broad

Opt-in 1

Short Name for Opt-in 2 - specific

Opt-in 2

Program for opt-in 3

Opt-in 3 if needed

OptIn Campaign

Host Email

Autoresponse

Email Subject

Email body

Learn about the campaign options that our Strategy Team has been researching, and share your input on which ones will allow us to most effectively build our power and create change throughout the state.

Fields marked with an asterisk (*) are required.

First Name

Last Name

Mobile Phone Number

Zip/Postal Code

If you belong to a Reform congregation, which one?

By submitting this form, you authorize future communications via mail, email, text and phone for the purposes of transactional communications as well as marketing communications from this and other URJ programs. Please know that we do not sell or market email addresses. If you do not wish to receive further communications from the URJ and URJ affiliates you will be able to opt out at the time of receipt.

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