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Holiday Programs Event Reservations

Purim Reservations

RSVP below | $20/Child | $25/Adult | Sponsorships welcome

$180 Silver Sponsor; $360 Gold Sponsor;
$540 Platinum Sponsor

* We will never turn anyone away due to lack of funds.
Full Name*

First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
# of Adults*
# of Children
Sponsorships Thank You!

$180 USD$360 USD$540 USD
Total Charge PLEASE VERIFY!

$0.00 USD

Payment Method

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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