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Chochmat Chaim Request Form
In which city is your program?
How do you intend to use the Chochmat Chaim Program material?
Please describe your program and your general activities (school, community outreach, campus, Partners in Torah, branch of a larger organization). Include how many participants you have and how many you expect to have.
By submitting this request, I agree that I understand the following: The
curricula are copyrighted material that are the property of Rabbi Elazar Grunberger of Lev Echad. These materials may be used only for educational purposes and only in the manner directed. The material may not be reproduced in any form except in the manner and in the amount directed by the copyright holder. It may also not be forwarded without written permission from the copyright holder. In any case, all hard copy or electronic format reproductions must be accompanied with the copyright warning notice. I understand that sessions in which the Chochmat Chaim material is used must be followed up with a report of its usage and how successful it was. (An online form will be made available to you for this purpose.) Questions about usage should be directed to RabbiGrunberger@LevEchad.net
Lev Echad 900 Forest Ave. Lakewood, NJ 08701 • Lev Echad 17 Shani Modiin 7175184 Israel
In U.S.: 314.594.0606 • 314.229.5600 • In Israel: 050.405.5521
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