Request To Join

REQUEST TO JOIN
(and INFO UPDATE)
Form

Shalom!
Nismach Maryland is a group designed for Orthodox Jewish women who lost their husbands. We serve members in the Baltimore, Silver Spring and Metro Washington DC areas.

We're not a support group, but rather a friendship group for fun get-togethers, speakers, luncheons, etc. Through our friendships, support develops.

There is no charge to join Nismach or participate in our events.

Please complete the form below if you would like to become a member in Nismach. Someone will respond to your request soon.

* Indicates required field

Name: *

First

Last

Email (We will NOT share your email with any lists): *

Phone Number: *

Can we text you at this number? (Note: Texting can't usually be done to your home/landline phone.) *

Yes No

Your Birthdate (MM/DD/YYYY): *

Address: *

Line 1

Line 2

City

State

Zip Code

Country

Husband's Yahrtzeit (Hebrew date): *

Husband's Yahrtzeit (English Date): *

English year of Husband's passing *

Do you have children at home? *

What would you like to gain from Nismach? What do you hope Nismach might provide for you? *

What types of activities would you be interested in attending? Please list as many as you'd like (no commitment). *

Would you like to join our Nismach WhatsApp chat? *

I'm already on the chat. Yes! I have WhatsApp on my phone. Please add the phone number listed above. Yes, but I don't know if I have WhatsApp or how to use it. Please contact me to help me join the chat. No, thanks.

Additional Comments: *

Submit

Yad Yehuda of Greater Washington is a 501c3 tax-exempt organization. Tax ID 22-3949731

REQUEST TO JOIN(and INFO UPDATE)Form

REQUEST TO JOIN
(and INFO UPDATE)
Form