“Having survived, I owe something to the dead and anyone who does not remember, betrays them again.”
                          –Elie Wiesel

Dear Friends,

We need your help in compiling a list of people that have a connection to Bardejov. If you know of any person(s) who you think may be interested in our upcoming 2012 trip, our efforts to build a Holocaust Memorial in Bardejov, and/or our work to preserve the Jewish history of Bardejov, we would appreciate if you would please give us their names, addresses, phone numbers and emails on this form.

Please take a moment to complete and submit the following survey online or Click here to open a printer friendly Adobe Pdf to print and then fax us at (626)773-8820. Thank you!

Name
Relationship to Bardejov
Address
Phone
E-mail
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6.  
Person submitting this form:
Name
Relationship to Bardejov
Address
Phone

Email:
* This is a required field To submit this survey, please click here.




Mailing address:

Diane Siegel, Executive Director
Bardejov Jewish Preservation Committee
905 S. Fair Oaks Avenue
Pasadena, CA 91105

Bardejov Jewish Preservation Committee www.bardejov.org info@bardejov.org
O: 626 773-8808 F: 626 773-8820