Local Community Organizer Form - Jerusalem Women Speak

Today's Date:
City & State you want JWS tour to visit: Contact Information
Formal Title: (Example: Dr. / Professor / Esq. / Reverend / Imam / Rabbi / Ms. / Mr)
First Name:

Surname:
Address:
How you would like to be addressed:
Best phone number's to reach you at:

Fax:
Email Address:

When and how did you hear about JWS tour?:

Organization(s), religious group(s), club(s), school(s), universities, retirement
centers (etc.) you are affiliated with or that would be hosting/sponsoring the JWS tour
(please be very specific):

Additional organizations/religious groups/clubs/schools/universities in your area
that you could connect us with that would be interested in hosting or hearing the
JWS tour:

The Event

Why do you want to bring the JWS tour to your community?

How many people do you anticipate attending? (Low Estimate/ High Estimate/ Expected Number):
Can be advertised as an event open to the public? (Yes / No):

Do you need to have the event on a specific day of the week, or at a certain time?

Would there be an honorarium available? (Yes / No):
If so, please specify amount:

Would your organization be able to provide any of the following: Homestay, Hotel
costs (full or partial), Travel costs (airfare, gasoline, etc. – full or partial), Meals,
Media connections?

Thank you for your interest! Please do not hesitate to contact us with any questions
you may have. An easy way to do so is to email us at: info@partnersforpeace.org