Please let us know if you found any information in this guide to be incorrect or out of date, or if you would like to recommend additional organizations for inclusion in future editions. Please print this form by clicking the small printer icon immediately above and to the right of this text, fill it out and send it to the Social Action Committee, c/o the Beth Elohim office. You can also fax your corrections or additions to the Beth Elohim office, at (718) 768-7414.

Organization Name:

Address:



Phone Number:

Brief Description of Organization:



Population Served:

Items Needed:    (Circle all that apply)

Clothing:    Men’s      Women’s     Children’s         Infants

Food        Furniture    Household Appliances

Books        Toys        Other (Describe)



Drop-Off Times:

Pick-Up Instructions:



Contact Person for more information:

Submitted by: