Project Zachor Mission


We need your help.  Please answer the following questions and hit the submit button so we can determine your level of interest.

Your Name
Zip/Postal Code:
Phone Number:
E-Mail Address:
Best way to contact you Email     Phone

1. Do you already have an Ethical Will prepared?
Yes     No
2. Would you be interested in attending a guided Ethical Will writing workshop?
Yes     No
3. If yes, what days of the week/times work best for you?

4. Would you like to have your Ethical Will recorded on Video?
Yes     No


Additional Comments: