א.מ.י.ר. ארגון מאוחד של יוצאי רומניה
Registering and completing details
First Name *
Last Name *
Mobile *
Email *
Phone
Private fax
Address (Street & No.) *
City *
Home ZIP code
City of birth *
Country of birth *
Name of spouse
Father's Last Name in Romania
Father's first name in Romania
Father's birthplace in Romania
Mather's Last Name in Romania
Mother's Maiden Name in Romania
Mather's birthplace in Romania
Cities source of family
Counrty of residence
State of residence - USA only
כותרת תחתונה