West Coast Shuls Update form

Name of Shul*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Member Units

Main Shul phone number

Shul Website

Rabbi's Name

First Last

Rabbi's Office Phone

Rabbi's Cell

Rabbi's Email

Rabbi's Address (if different from above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Member Units

President's Name*

First Last

President's Spouse Name

First Last

President's Email*

President's Address if different from above

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Assistant/Associate Rabbi's Name

First Last

Assistant/Associate Rabbi's Office Number

Assistant/Associate Rabbi's Cell

Assistant/Associate Rabbi's Email

Executive Director/Administrator's Name

First Last

Executive Director/Administrator's Office Phone

Executive Director/Administrator's Cell