Rest unit

Request a stay at Rest Apartment in Tiberias

Fill in the details and we will get back to you. The form is a little long — these are exactly the details we have always asked for on paper. You do not need to explain everything: a few sentences about your situation are enough.

Request details

The family and where you live

Your family name, your home address, and the email address our answer should go to.

Family name (required)

However you would like us to address you.

Street and house number (required)

For example: Herzl 12.

Floor (required)

If it is the ground floor, write: ground.

Apartment number (required)

If it is a private house, write: house.

Town or city (required)

Where you live.

Email (required)

We will send our answer and the arrival details to this address.

The husband's details

The identity number is stored encrypted and is used only to identify you to the charity.

Husband's name (required)

First name and family name.

Husband's identity number (required)

Nine digits, including the final check digit. The number is stored encrypted and is passed to nobody.

Husband's mobile (required)

This is the main contact number for the request. An Israeli number, for example 050-1234567.

The wife's details

The same details, stored encrypted in the same way.

Wife's name (required)

First name and family name.

Wife's identity number (required)

Nine digits, including the final check digit. The number is stored encrypted and is passed to nobody.

Wife's mobile (required)

An Israeli number, for example 050-1234567.

Two people we may ask about you

Two people who know you and can be asked about you — a rabbi, a teacher, a neighbour. Please tell them beforehand that you gave their name, because these are their details, not yours.

First reference — name (required)

Someone who knows you and can be asked about you — a rabbi, a teacher, a neighbour.

First reference — mobile (required)

An Israeli number, for example 050-1234567.

First reference — address (required)

A town and a street are enough.

Second reference — name (required)

A second person, who is not an immediate relative.

Second reference — mobile (required)

An Israeli number, for example 050-1234567.

Second reference — address (required)

A town and a street are enough.

When you would like to come

If the dates are not settled yet, put down what looks right for now — we will work it out together.

Arrival date (required)

The first day of the stay.

Departure date (required)

The day you leave. It must be after the arrival date.

Number of people (required)

How many people are coming, including children.

Why you are asking

This part helps us understand how to help. Write as much or as little as you are comfortable with.

What you write here stays with us

What you write here is stored encrypted and read only by the charity's team. We do not share it with anyone else.

Why you are asking for the apartment (required)

A few sentences help us understand how to help. No full medical details are needed.

Human verification

You will see a confirmation once it arrives, and there is no need to send it twice.