Purim RSVP Form -

Purim RSVP Form

I would like to join *

Havdalla, Megilah reading & Kumzits Mar. 11th 7pm Purim Party in the Shtetl Sunday Mar. 12th 2 pm

Name *

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Last

Address *

Line 1

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Email *

Phone number *

Name on card *

Credit Card Number *

CVV # on the back of the Card *

Expiration Date *

Billing Address *

Adults *

Children, *

Please consider partnering with us with an contribution in any amount.
$36 Suggested: Co sponsor: $250, Sponsor: $500 Sponsor.
Free Admission

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