Welcome Package

Yes! I'd like to receive a Shalom Chicago Welcome Package, including the Guide to Jewish Living in Chicago and other information. (Please complete all of the following information, including apartment number, if appropriate.)

*First Name:
*Last Name:
*Address 1:
Address 2:
*City:
*State:
*Zip:
Daytime Phone: (123-456-7890)*
Evening Phone: (123-456-7890)
*Email:
Occupation:
*Age:	21-30 31-40 41-50 51-62 63+
When are you moving to Chicago?

	Subscribe to JUF News Express
	Subscribe to the YLD Email Newsletter (for young adults between the ages of 22 and 40ish)
	Please have a volunteer contact me (for 30-50 year olds who are planning on moving, or have already moved, to the Chicagoland area.)
* (indicates required field)