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HOLIDAYS Purim 2021

Purim RSVP

Full Name
First NameLast Name
Phone Number
Area CodePhone Number
E-mail*
Amount of Adults?
Amount of Children?
Events Attending?
Thursday, Feb 25 6:30 PM - Megillah ReadingFriday, Feb 26 5:00 PM - Purim Celebration + ShabbatVirtual Hamantashen Bake - Feb 21 6:00 PM (kits will be delivered)
Please help cover the PURIM expenses. Any amount is appreciated!
$54$72$100Bronze sponsor $180Silver Sponsor $360Gold Sponsor $540Purim Partner $1000
Total
$0.00

Payment

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

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