PurimDay.jpg


 Sunday, March 12th 3:30 pm .

Personal Information
* Denotes required fields

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Phone

Email *

 

 

Total attending

Adults:

Children:

 

A suggested minimum donation of $36.00 per adult & $18.00 per child is requested upon reservation. ( Under 3 free)

$180 to co-sponsor the Mitzvah of Purim in addition to the below.

Payment Information

Name on Card*

Card Type *

Card Number *

Expiration *

Card Code *

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TOTAL Amount to charge $