Rabbi’s Confidential Member Preplanning Form

Beth Chayim Chadashim
Att: Rabbi Jillian Cameron
6090 W. Pico Blvd.
Los Angeles, CA 90035

Rabbi Jillian Cameron requests that you provide the information called for in this document so that all necessary information is available to her when serving as your rabbi in any capacity. Strict confidentiality is assured.

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6090 West Pico Boulevard
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(213) 290-6139|bcc@bcc-la.org

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